02142024-74 1
City of Anaheim
off i 'Oty Clerk
200 S. Arm e 'm Blvd., Suite 217
Anaheim, CA 92805
EV (714) 765-5166 - fax (714) 765-410S
www.anaheim.net
STEP 1: COMPLETE all fields on this form This form is to facilitate and expedite the processing of your public records request.
Describe identifiable records in the possession of the City, your request must be sufficiently focused and specific to allow
the City to locate the requested record(s).
STEP 2: SUBMIT completed form by mail, fax, email or in person to Custodian of Records, Office of the City Clerk 200 S.
Anaheim Blvd. (714) 765-5166; tbass@oaheim ; fax (714) 7654105.
STEPto receive an invoice for responsive records. The City shall determine within I 0-days from receipt of a public
records request, whether the request, m whole or in part, seeks copies of discloseable public records in possession of the
City [CTC 6253(c)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to mak*
an appointment to return at a later datchime to view the documents.
Charges for the direct cost of duplication will apply. Documents will not be copied until payment has been received. If
payment is not received within 10 days after invoice is sent, you may be required to submit a new request. Please see
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DESCRIPTION OF REQUESTED REICORD(S): (Describe the specific public record(s) e.g., date, type, time period covering
documents requested etc)
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11 understand that I will be contacted once documents have been identified. If production of records is requested, an
estimated cost will be provided to me and I agree that I will be required to submit payment for duplication costs (and
Lnailing) prior to the production of the requested documents.
'F] I wish to inspect City records EJ--- ill Pick -Up Records F] Please Mail
CA Public Records Act.
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(Government Code Section 6250 et seq.)
5. Copy charges are enumerated on the City Clerk's Fee Schedule as adopted by the City Council (RES-
2018-075)a The standard charge for copies of any specifically described and identified public records
not exempt from disclosure is S0A5 per Me. Color copies are $0.20 per page. Records copied to
CD axe 31 UO per CD. Records stored by the City in electronic format will be provided in the same
electronic format when requested by any person. The City is not required to produce records in an
electronic format when the requested records are not available in electronic format at the time of the
request. Mailing charges will apply, if necessaq. Fee schedules are approved by City Council and are
available upon request.
6, The Office of the City Clerk will provide an invoice for charges due, These charges are due and
payable upon receipt of the invoice. Upon remittance of the invoice amount, the records request will
be copied and sent to the requestor. If arrangements for payment md production are not made
wifl-�n twenty (20) days of the date of the City's response, a new request may have to be submitted.
7. For further information, please refer to the California Public Records Act (Califorma Government
Code §6250 et seq.) or contact the Office of the City Clerk, 200 S. Anabeirn Blvd., Suite 217,
Anaheim, CA 92805; Phone: (714) 765-5166.