Public Records Request Form printable pdf download

CITY OF ATASCADERO

OFFICE OF THE CITY CLERK

REQUEST FOR PUBLIC RECORDS

The California Public Records Act (Government Code 6250, et. seq.) was enacted to ensure public

access to public records. This form will enable us to accurately and efficiently fill your request.

The fee for preparing a copy of any documented record, when made by photographic process, is

fifty cents ($.50) for the first page and ten cents ($.10) for any additional pages. Requests for

research not related to a specific record can only be accommodated on an as available basis, and

may require a charge for staff time at the fully allocated rate for the employee conducting the

research.

NAME: ____________________________

DATE OF REQUEST: ____________________________

FIRM: _____________________________

CONTACT ADDRESS: ____________________________

PHONE: ___________________________

CONTACT EMAIL: _____________________________

PROPERTY ADDRESS OF RECORDS BEING REQUESTED

: _______________________________

APPROXIMATE DATE OF MATERIAL: _________________(if records being requested pre-date

Atascadero’s incorporation in 1979, it is possible that residential building records or other documents not found

in the City’s archives or on microfilm files, may be available at the San Luis Obispo County Clerk Recorder’s

Office).

INFORMATION NEEDED: For each record, describe type, date, subject, title, etc. Please be very specific.

_____________________________________________________________________________

YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT.

California Government Code Section 6253 (c): Each agency, upon request for a copy of records

shall, within 10 days from receipt of the request, determine whether the request, in whole or in part,

seeks copies of disclosable public records in the possession of the agency and shall promptly notify the

person making the request of the determination and the reasons therfor. In unusual circumstances,

the time limit prescribed in this section may be extended, by written notice by the head of the agency,

or his or her designee, to the person making the request, setting forth the reasons for the extension

and the date on which a determination is expected to be dispatched. No notice shall specify a date that

would result in an extension for more than 14 days.

Marcia McClure Torgerson. C.M.C.

City Clerk

FOR OFFICIAL USE ONLY

Researched by: __________________________

Time Spent: ____________________________

Date Completed: ________________________

Charge (if any): _________________________

Mail: _____________ Pickup: _____________

Public Records Request Form