EmailMe Form - Public Records Request

Name *

First Last

Date *

MM / DD / YYYY

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Nature of request
Notice: A fee may be charged for copying based on the actual cost of providing the information. *

Opportunity to review records. (No original records may leave the office)

Copies of records

Please read and confirm the following statements: I have requested public records of the school for a non commercial purpose. I understand that if the records should be used for commercial purpose, a verified statement of the purpose must be submitted per A.R.S. 39-121-03 *

I confirm this request is for non commercial purposes

This request is for commercial purposes and I will provide a verified statement per A.R.S. 39-121-03

Records requested (Please be as specific as possible as to the records you desire, as well as the time period for which you are requesting records. *

Requestor's signature (electronic)- please type your full name: *

Email *