Fillable Utah County Government Grama Request For Records Form printable pdf download

UTAH COUNTY GOVERNMENT

GRAMA REQUEST FOR RECORDS

To: _______________________________________________________

(Name of person and/or government office holding records)

Address of government office: ________________________________

Description of records sought (records m ust be described with reasonable specificity):

____________________________________________________________________________________________

_____________________________________________________________________________________________

I would like to inspect the records

I would like to receive a copy of the records. I understand that I will be responsible for copy costs.

I authorize costs of up to $ __________________.

I would like to receive a copy of the records and request a waiver of copy costs because:

Release of the records primarily benefits the public rather than me.

I am the subject of the record.

I am the authorized representative of the subject of the record.

My legal rights are directly affected by the record and I am impecunious.

(Please attach information supporting your request for waiver of fees.)

If the requested records are not public, please explain why you believe you are entitled to access.

I am the subject of the record.

I am the person who provided the information.

I am authorized to have access by the subject of the record or by the person who submitted

the information. (please attach documentation required by U.C.A. §63G-2-202.)

Other. Explain: ___________________________________________________

I am requesting an expedited response. (Please attach information that shows your status as a member

of the media and a statement that the records are required for a story for broadcast or publication; or

please attach other information that demonstrates that you are entitled to expedited response under

U.C.A. §63G-2-204(3).)

My name is: __________________________________________________________________________

My address is: _________________________________________________________________________

City, State, Zip Code: ___________________________________________________________________

My daytime telephone number is: _________________________________________________________

My email address is : ______________________________________________________________________________

_______________________________________

___________________

Signature

Date

Utah County Government Grama Request For Records Form