CityGrows

(Sample) Public Records Request

May 16, 2017
submission #1
Request records or information

Information / Records you are requesting

What are you requesting? Information on dogs licensed in the city
Enter a date or date range related to the information you are requesting, if available and relevant ---
Enter any details on which department or departments of the City have these records? ---
Enter any details on the format of the information you are requesting, if available? ---
How do you wish to view the records? Electronic
Is request for commercial purposes? No (non-commercial)

Your contact information

Phone number ---
Organization (if applicable) Academic Organization
Mailing address: Street ---
Mailing address: City ---
Mailing address: State ---
Mailing address: Zip code ---
City staffers provide requested information

Response to records request

Records to be provided ---
Limitations or redactions (summary) ---
Record 1 ---
Record 2 ---
Record 3 ---
Record 4 ---

Internal Tracking

Received By Sam
Department P