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Public Records Request Form

Please read the following and acknowledge with your initials at the bottom of the online form: Under provisions of ARS 39-121, Public Records Law, it is requested of the City of Glendale to release the requested public records to me. Under penalty of perjury, I hereby declare the public records requested will be used solely for non-commercial purposes.

Please note, there is a $.20 fee per page for standard requests. Exact change is required.

(Note: Fields indicated in bold are required.)

Requestor's First Name:
Requestor's Last Name:
Requestor's Email Address:
Company/Organization:
Organization Representing Name:
(If Different from Company/Organization)
Title:
Requestor's Address:

City:
State:
Zip Code:
Phone:
Fax:
What public record is being requested? Give as much specific details as possible, including type of document, category or action taken, date or time frame (for example: this is where you would include the address of a property for which you are requesting information).
For what purpose will you use this information (please explain).
Date needed?
Date Picker
(mm/dd/yyyy)
How would you like to receive the information?
Pick-up Mail Fax

Please type your initials here to show you have read and understand all information above.  Under penalty of perjury, I hereby declare the public records requested will be used solely for non-commercial purposes.

Before you submit this to the City, you should be aware that your submittal:  (1) is subject to public disclosure under the State Public Records Law, (2) is not private or confidential, and (3) is retained for one year.

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