HomeMy Public PortalAboutREQUEST FOR PUBLIC RECORDS_formCITY OF RICHMOND ANDREW J. SICKMANN
DEPARTMENT OF LAW City Attorney
50 NORTH FIFTH STREET RICHMOND, INDIANA 47374 KIMBERLY A. VESSELS
PHONE (765) 983-7220 FAX (765) 983-7365 Assistant City Attorney
PUBLIC RECORDS REQUEST
Requests for public records must be submitted in writing on this form and must identify
with reasonable particularity the record requested. [Indiana Code 5-14-3-3] Requests
must be legible. Sufficient details must be provided to assist with the search, including:
social security numbers (for police records), names, dates of birth, addresses, record
identification numbers, dates, board or department names, account numbers, and/or any
other information required by the City or department to complete a requested search.
I am requesting the following public records for inspection and/or copying pursuant to the
Indiana Access to Public Records Act, Indiana Code 5-14-3:
I understand the fee for copying these records, plus any certification fees and postage
reimbursement fees will be charged to me prior to the release of the records. [Richmond City
Ordinance 59-2010]
Signature
Printed Name
Date:
Mailing address of requesting party:
____________________________
____________________________
Phone number of requesting party:
____________________________
RONALD OLER, PhD.
Mayor