GRAMA Request Form | Apple Valley Utah

Supporting Documents

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Description

Description of records sought (records must be described with reasonable specificity):

inspection_copy *

I would like to inspect (view) the records

I would like to receive a copy of the records. I understand that I may be responsible for fees associated with copying charges or research charges as permitted by UCA 63G-2-203.

Cost Authorization

I authorize costs of up to

waiver

UCA 63G-2-203 (4) encourages agencies to fulfill a records request without charge. Based on UCA 63G-2-203 (4), I am requesting a waiver of copy costs because:

release of record

Release of record primarily benefits the public rather than a person.

Please explain *

Please explain

subject of record

I am the subject of the record

I am the authorized representative of the subject of the record.

My legal rights are directly affected by the record and I am impoverished.

requested records are not public

If the requested records are not public, please explain why you believe you are entitled to access.

I am the subject of the record.

I am the person who provided the information.

I am authorized to have access by the subject of the record or by the person who submitted the information. Documentation required by UCA 63G-2-202, should be sent via email to clerk@applevalleyut.gov.

Other. Please explain

other please explain *

expedited response

I am requesting expedited response as permitted by UCA 63G-2-204 (3)(b),

media member status *

Please attach information that shows your status as member of the media and a statement that the records are required for a story for broadcast or publication; or other information that demonstrates that you are entitled to expedited response.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Email Address *

Requester's Name *

Mailing Address *

Best Contact Phone Number *

Date

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