Webb County Public Information Request Form

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Webb County Public Information
Request Form
If you have questions regarding the Texas
FOR DEPARTMENT USE ONLY
Public Information Act, please contact the
RCVD BY: __________________________________ DATE: _________________
Office of the Texas Attorney General at
toll-free (877) 673-6839 or visit their
CASE NUMBER ASSIGNED: ____________________ DUE DATE: ___________
website at
NOTICE: This form is to be completed by the requestor only. Upon receipt of a request for information,
Webb County has ten (10) business days in which to release the information to the requestor, request an
extension, or request an open letter ruling from the Texas Attorney General. Please note that charges may
apply to your request. Please refer to “Cost of Open Records” for any estimated costs.
Section One: Requestor Information — PLEASE PRINT CLEARLY!
Name: __________________________________________________ Phone Number: _______________________________
Organization (if applicable): _____________________________________________________________________________
Address: _____________________________________________________________________________________________
City: ______________ State: _______ Zip: _________ E-Mail Address: __________________________________________
Section Two: What information are you requesting?
Describe the exact information you are requesting. Include any details that may help us locate the information.
Please do not ask questions. The County is under no obligation to answer any written questions or create any
document in response to an open records request.
Section Three: Confidential Information
Please be advised that confidential information is often included in documents held by Webb County. The County may not be able to
release this information. The Texas Public Information Act (codified at Texas Government Code Chapter 552) requires a governmental
entity to request an open letter ruling from the Texas Attorney General prior to withholding information that is confidential. The Attorney
General’s Office has 45 days to respond to a request for an open letter ruling. Please check the box below if you are willing to receive only
non-confidential information and expedite this request.
Please send me only non-confidential information. I understand that some records may be redacted to withhold confidential
information. This information includes, but is not limited to: all Social Security numbers, driver’s license numbers, confidential account
information, addresses, telephone numbers, and certain e-mail addresses.
I certify that I am the person listed as requestor:
Return form to:
Webb County
______________________________________________
Attn: Public Information Office
Signature of Requestor
rd
1110 Washington St, 3
Floor, Laredo, TX 78040
(Digital form, printed name is considered signature.)
E-Mail:
webbpio@webbcountytx.gov
Fax: (956) 523-5151
Today’s Date: _______________

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