PUBLIC RECORDS REQUEST FORM
Name _________________________________________________________
Address ________________________________________________________
Email __________________________________________________________
Telephone ____________________________ Fax______________________
Company _____________________ Date Requested___________________
Description of Document(s)
Please be Specific
Requests will be filled as soon as possible, but no later than 10 days of the request, unless the response time is
extended by the City’s written notification to you. If for any reason we are unable to provide the information or
the information requested is not available, you will also be notified in writing. (See Government Code Section
6253).
CITY OF FRESNO
Office of the City Clerk
2600 Fresno Street, Room 2133
Fresno, CA 93721
Phone: (559) 621-7650 Email: clerk@fresno.gov Fax: (559) 457-1106
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