Dodge City Unified School District 443              Open Records Access Request
K.S.A. 45-230 prohibits using names and addresses derived from public records for certain commercial purposes. This includes using public records to sell property or services. Persons are also prohibited from obtaining public records with the intention of making the records available to a third party for such purposes. Violation of this law is a civil offense punishable by fine. Violations will be referred to the Attorney General or the County Attorney for prosecution.

The undersigned hereby requests access to the records described below and certifies that the undersigned has a right to access of the records. The undersigned further certifies that the information obtained from the records will not be used for a prohibited purpose.

Sign and date below to request a record under the Open Records Act, K.S. A. 45-215 et seq., and to indicate your understanding of the conditions outlined above.
Sign in to Google to save your progress. Learn more
Full Name *
Address *
City, State & Zip *
E-Mail Address *
Fax #
Phone # *
Your Signature *
Today's Date *
MM
/
DD
/
YYYY
Records Request *
Please provide a SPECIFIC description of the records you want to inspect or copy.
How do you wish to receive this information? *
Required
Estimated Completion Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of USD 443 Dodge City.

Does this form look suspicious? Report