Records Request Form

CITY RECORDER'S OFFICE 56 N STATE STREET I OREM, UT 84057

Description of records sought must be described specifically. Please upload additional pages if needed.

I would like to inspect the records or receive a digital Copy of the records

I would like to receive a copy of the records and request a waiver of fees because:Release of the records primarily benefits the public rather than me.I am the subject of the recordI am the authorized representative of the subject of the recordMy legal rights are directly affected by the record and I am impecunious

I am the subject of the recordI am the person who provided the informationI am the parent or legal guardian of a minor who is the subject of the recordI have a power of attorney or notarized release from the subject of the record or the provider of the informationI am authorized to have access by the subject of the record or by the person who submitted the informationOther

Other Explain

I am requesting expedited response.

If there is a cost for the records, the City will contact the requestor and will not initiate processing the request until agreement on the fees. Requestor Information Name:

Name

Address

City, State, Zip Code

Daytime Telephone

Format: (000) 000-0000.

Email Address

example@example.com

Upload Supporting Documents

Date Submitted

Date