TEXAS PUBLIC INFORMATION ACT INFORMATION REQUEST FORM
For guidance regarding your rights as a requestor and the public information procedures adopted by
this governmental body, you may review the governmental body’s notice required under section 552.205 of
the Government Code. You can find additional Public Information Act resources on the Office of the Attorney
General's website at http://www.texasattorneygeneral.gov/open-government.
First Name:
Last Name:
Company/Organization:
Mailing Address:
City:
State:
Zip Code:
E-mail Address:
Phone Number:
Preferred Manner of Written Communication:
Description of the Information Requested
(Note: Describe the information as precisely as you can.)
Please Note: If the information requested is unclear or if a large amount of information is requested you may be
contacted to discuss clarifying or narrowing your request. There may be charges associated with production of the requested
information. You may find more information regarding the charges under the Public Information Act HERE.
How would you like to have the information provided?
If available, do you wish to receive an electronic copy of the information?
Do you agree to the redaction of information that is subject to mandatory exceptions, provided such
redactions are clearly labeled on the information you received?
Do you agree to the redaction of information that is subject to discretionary exceptions, provided such
redactions are clearly labeled on the information you receive?
Date Range (optional):
to
:
Under the Public Information Act, some categories of information do not have to be released.
Exceptions to disclosure fall into two general categories: 1) mandatory exceptions that make information
confidential and require a governmental body to withhold information, and 2) discretionary exceptions
that allow but do not require a governmental body to withhold information. You may find
information about mandatory and discretionary exceptions HERE.
In most instances, a governmental body is required to request a decision from the Attorney General in order to
withhold information from a requestor. However, a requestor may permit a governmental body to redact
information without requesting an Attorney General decision. You are not required to agree to the redaction of
any information responsive to your request, but doing so may streamline the handling of your request. If you
agree to redactions in this request, then you may request the redacted information in a future information request.
From:
INFORMATION PREFERENCES:
Requestor Contact Information
Rev. 10/1/2019
Standard Mail
Copies
No