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02162024-08City of Anaheim Office of the City Clerk 200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 (714) 765-5166 - fax (714) 765-4105 www.anaheim.net REQU t­S'T FO R PUBLIC RECORDS STEP 1: COMPLETE all fields on this form This form is to factate 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: gUHM1T 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; thass@A�nAcim.net; fax (714) 7654105. STEP 3: WAIT to receive an invoice for responsive records. The City shall determine within I 0-days from receipt of a public records request, whether the request, in whole or in part, seeks copies of discloseable public records in possession of the City [GC 6253(c)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to makq an appointment to return at a later daterne 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 backside for additional information. REQUESTER INFORMATION LA -- Full Name: ej Date: 0 Z-- Company Name: 14 k/ t4A C, 4- (Mailing) Address: City/Statep Code: Phone number: Email: — I Preferred method of contact in the event of questions: t , gIVI documents requested etc) Po U L< — L C 0 C) tA ej I understand that I will be contacted once documents have been identified, If production of records is requested, an T 2XW +1� - -nV-1kraL ti, sull-dit T&H 11)9 mailing) prior to the production of the requested documents. I wish to inspect City records I Pick -bp Records Please Mail r u Please note that information contained in any PRequ.st,isra-public record and maN 4"subj ect to public inspection pursuant to the CA Public Records Act. 'TURE OF REQU 'TER ILTURUCAEMBas- jJ 'UCT 3NSF RJE JBL1 _T (Govemment Code Section 6250 et To expedite your request, requests for records should be in writing. A Public Records Request Form can be submitted orihne at dow o ded d m o f d to: nl a an ailed r axe Office of the City Clerk, 200 S. Anaheirn Blvd., Anaheim CA 92805; fax (714) 765-4105, You may also request a form be mailed to you by contacting the City Clerk's Office at (714) 765-5166. Please note that information contained in a request is a public record -and may be subject to public inspection pursuant to die CA Public Records Act. Z If your request is to inspect rather than receive copies.' the responsive Department will make an appointment for a reasonable future date/time for such records. This is necessary to allow time to gather and review documents for compliance widi the provisions of the Public Records Act. 3. Requf sts (inspection and copies) must be for records in the possessions of, prepared, owned, used, or retained by the City of Anaheim [Gov. Code §6252(c)] and must be for clearly identifiable records, City staff is available to assist you in identifying those records in the Deparment/City's possession. ne City is not required by law to create a record or list from an existing record. Copies Will not be provided if disclosure is exempt in accordance with State law, 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 and production are not made widdn twenty (20) days of the date of the City's response, a new request may have to be submitted, 7. For farther information, please refer to the California Public Records Act (California Govemment Code �6250 et seq.) or contact the Office of the City Clerk, 200 S. Anaheim Blvd., Suite 217, Amdicim, CA 92805; Phone- (714) 765-5166,