Public Records Request Form - Ada County Highway District

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Ada County Highway District – Public Records Request Form
Idaho Code 74-102 and ACHD Policy 2023.3 provide the public the opportunity to review or copy public documents. In order to
best serve the public and expeditiously process your request for public records, all requests to examine or copy public records
MUST BE MADE IN WRITING. Please complete this form. All applicable fees may be required prior to receipt of record(s).
We will acknowledge and grant or deny this request within three (3) business days, and we will provide the public records within
ten (10) business days. Business days are Monday – Friday, 8:00 a.m. to 4:30 p.m. All requests received after normal business
hours (excluding holidays) shall be deemed received the next business day. Note: Records released pursuant to this request are
not warranted as to completeness or accuracy. The information provided represents the disclosable information available under
Idaho Code Title 74, Chapter 1 and the ACHD Policy Manual 2023.3. Additional records may present a more accurate
representation of a given situation.
PLEASE TYPE OR PRINT LEGIBLY
Date:
_____/_____/_____
Name:
_______________________________________________________________________________________________
First Name
Last Name
Company (if applicable): ___________________________________________________________________________________
Address: _______________________________________________________________________________________________
Street
City
State
Zip
Phone:
(_________) ___________ - _________________
Fax:
(_________) ___________ - _________________
Signature: _________________________________________
Email: _________________________________________
Public Records Request:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Legal Department Review:
Staff Use Only:
Copying Fees:
Pursuant to I.C. § 74-102(10)
FREE
First 100 Copies
=
Request Completed By: __________________________
FREE
First 2 Hrs Labor
=
_______________ ________
Completion Date: _______________________________
________ x $ .09
= $____________
Steven B. Price
Date
# Pages
(101+ Copies)
Requestor Contacted: ____________________________
_______________ ________
_______ x $1.00
= $____________
Notification by:
# Pages
(Plan Sheets)
Scott D. Spears
Date
U.S. Mail
Fax
Email
Phone
_______ x $5.00
= $____________
# Tapes/CDs/DVDs
_______________ ________
______ x $_______ = $____________
Request Picked Up By: __________________________
# Labor Hrs/Rate (after first 2 hours)
Justin M. Fredin
Date
Date Request Picked Up: ________________________
TOTAL COST
= $____________
Ada County Highway District • 3775 Adams Street, Garden City, ID 83714 • Voice (208) 387-6100 •
Email:
Rev. 12/10/15

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