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Public Records Request
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This form has been modified since it was saved. Please review all fields before submitting.
Date of Request
*
Date of Request
Subject of Request
*
Name
Email Address
Address
City
State
Zip Code
Phone Number
Fax Number
Information Requested
*
Please identify the documents/records being requested. Please be as specific as possible. The more specific your request, the better City staff can locate and retrieve the information in a timely manner.
Receiving Public Documents
*
-- Select One --
I will pick up copies at the designated City office.
I wish to review the information only; no copies necessary at this time.
Call the phone number listed above to notify me when information is available.
Mail copies to the mailing address listed above.
Email copies to the email address listed above (as practical).
Fax copies to the fax number listed above (as practical).
I will call the City (937-333-3616) to determine when records are available.
How would you like to receive the information you are requesting?
Cost
*
The cost to obtain documents through a public information request is $.10 cents per impression plus the actual cost of the medium in which the information is provided (i.e., CD, DVD, videotape, audiotape, etc.). Unless otherwise agreed, payment is due before the documents are provided. Checks should be made payable to the City of Dayton.
I understand there is a cost for receiving public records.
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