Public Records Request

1.	Name:*

2.	Date:*
	mm/dd/yyyy

3.	Mailing Address:*

4.	Contact Phone Number:*

5.	E-Mail Address:*

6.	Nature of Request*
	Nature of Request* Opportunity to review records (no original record may leave the custodian's office) Copies of records. (Notice: A fee will be charged for copying based upon actual cost for producing and providing the information)

7.	Describe the Records you are requesting. Please be as detailed and explicit as possible as to the records you desire.*

8.	Confirm the purpose of your request by selecting the appropriate statement below *
	Confirm the purpose of your request by selecting the appropriate statement below * I am requesting public records of the school district for a noncommercial purpose. I understand that if the records should be used for a commercial purpose a verified statement of the purpose must be submitted per A.R.S. 39-121. I am making this request for public records of the school district for a commercial purpose. I understand that to be considered complete, my request must include a verified statement of the purpose, per A.R.S. 39-121.