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Public Records Request Form
Please answer the following questions to submit a Public Records Request. All requests will be reviewed and fulfilled by the Library Director and/or Fiscal Officer. Please send questions regarding this form to Director, Cheryl Slater, at
cheryls@kinsmanlibrary.org
.
To download a paper copy of this form, visit
https://drive.google.com/file/d/1OPIhmECNbHQrncFka8K5okae4hnJbqYr/view?usp=sharing
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* Required
Email
*
Your email
Name (Please enter "Anonymous" if you'd like to make this request anonymously)
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Description of Records Requested (i.e., Board Meeting Agendas, Board Meeting Minutes, Board Resolutions, Budgets, etc.). Please be a specific as possible and include relevant dates for which records are being requested.
*
Your answer
Format the requester would like to receive the requested records:
*
Pick-Up In Person at the Library ($ .10 per page, must be paid in advance)
Standard Mail ($.10 per page plus postage fee, must be paid in advance)
E-Mail
If you chose to receive the records via Standard Mail, please provide your name and the address to which you'd like the records mailed:
Your answer
If you chose to receive the records via E-Mail, please provide the e-mail address to which you'd like the records sent:
Your answer
Phone Number (Please provide a valid phone number for the records provider to contact should (s)he have a question regarding your request):
*
Your answer
Send me a copy of my responses.
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