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Serving the Communities
of Aptos, Capitola,
La Selva Beach,
Live Oak,
Rio Del Mar, and
Soquel
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Request Tracker Forms
Public Records Request Form
Leave This Blank:
Date of request:
*
Time of request:
*
Records Request Information:
In accordance with the California Public Records Act (Gov. Code §§. 6250 et seq.), I am requesting to (check one):
*
Receive copies of the following public records
Inspect the following public records
Type of record(s):
Please provide sufficient detail to assist in locating the specific public records you are seeking.
*
Date or date range of record(s):
*
Additional information (if needed):
Contact Information:
First Name
*
Last Name
*
Address
City
*
State
*
Zip
*
Phone Number
*
Email
*
I understand that the District will respond to all Public Records Act requests in compliance with State law. For copies of the above-listed public records, I understand the District copying fees will apply or statutory fees for copying may apply. I understand that I will be responsible for payment of all copying fees in advance of delivery of any requested copies. I also understand that the District has 10 days to determine if the request seeks disclosable records in the District’s possession. In some instances, the time may be extended by written notice if additional time is required to search for and collect the requested information. If more than fifty (50) pages are requested, the District may require a deposit before making copies.
Do you agree?
By clicking 'I Agree' you agree and acknowledge that 1) You agree to the statement and conditions above and 2) Your Public Records Request will not be "Signed" in the sense of a traditional paper document and 3) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.
*
I Agree
Signature of person making the request
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* indicates required fields.
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