New Submission

Section 11.5.F.1 Request for Public Records
Date:*
Name:*
Organization:
Address:*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone:*(?)
Work Phone:*(?)
Email:*
Confirm Email:*
Nature of Request:*
Opportunity to review/inspect records (no original record may leave the custodian’s office.Copies of records.
Please indicate whether you are using the public record for a commercial or non-commercial purpose:*
CommercialNon-Commercial
I have requested public records of the school district for a non-commercial purpose. I understand that if the records should be used for a commercial purpose, a verified statement of purpose must be submitted per A.R.S 39-121.03.
Records Requested (please specifically describe the record requested for review or copying):*
Signature:*
Date:*
PUBLIC'S RIGHT TO KNOW/FREEDOM OF INFORMATION
ARIZONA REVISED STATUTES TITLE 39, DYSART GOVERNING BOARD POLICY 11.5
Reference: Section 11.5, Form 11.5.F.1