Open Records Request Form
This form is to be used by individuals requesting documents under the Georgia Open Records Act (O.C.G.A. § 50-18-70 et seq.). It should not be used for requests to inspect routinely available records such as agendas, minutes, plats, etc. No Open Records Request is required to be in writing; however, use of this form will assist both the requester and Evans County to fulfill the request as accurately as possible.
General Information
Requester's Name
Please include first and last name.
Your answer
Company Name
Your answer
Mailing Address
Your answer
Telephone
Your answer
Email
Your answer
Request Details
Date of Request
MM
/
DD
/
YYYY
Requested Records
Please be as detailed as possible.
Your answer
Further Instructions
Please include any additional instructions or information you feel may be pertinent to the retrieval of your requested records.
Your answer
Terms of Acceptance
I warrant the truthfulness of the information provided in this application. I also understand that pursuant to O.C.G.A. § 50-18-71, I may be charged administrative and copying fees for the cost to search, retrieve, copy, redact, and supervise inspection of the requested documents. The fee for copying is generally $.10 per letter or legal size page unless otherwise provided by state law. In the case of other documents, I understand that I may be charged the actual cost to produce such documents. In addition, the hourly rate of the lowest paid full-time employee with the necessary skill and training to respond to my request will be charged after the first 15 minutes. I agree to pay all copying and administrative costs incurred in fulfilling my open records request.
Digital Signature
Please type your first and last name and check the box below to digitally sign this document. This action constitutes a legal signature confirming you acknowledge and agree to the above Terms of Acceptance. THIS DOCUMENT IS NOT CONSIDERED SIGNED UNLESS BOTH OF THE ABOVE REQUIREMENTS ARE MET.
First and Last Name (Digital Signature)
Please type your first and last name.
Your answer
Check Box (Digital Signature)
Required
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