Public Records Request Form - City Of Tillamook printable pdf download

Public Records Request Form

Office of the City Recorder

City of Tillamook

210 Laurel Avenue

Tillamook, Oregon 97141

OFFICE (503) 842-2472

FAX (503) 842-3445

Attention Requestor:

All public record requests must be made in writing. To expedite

your request for public records, please fill out this form completely and identify

specifically the type of records you are requesting.

__________________________________________

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First and Last Name (Please Print)

Signature

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Name of Organization (if applicable)

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Address

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________________

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City

State

Zip Code

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Daytime Telephone Number

Date of Request

Requested Information/Records: Please give a brief statement describing the requested

information/records, being specific enough for the City Recorder to determine the

nature, content and probably the department within which the record(s) you are

requesting may be located.

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Purpose of Request: Because the identity and motive of the person seeking the

disclosure of a particular public record may be relevant in determining whether a record

is exempt from mandatory disclosure under a conditional exemption, please give a brief

statement as to the purpose of your request:

______________________________________________________________________________________

◄FOR OFFICE USE ONLY►

Date Completed:__________________ Date Notified:____________________ Date Picked Up:___________________

Info Compiled by:__________________ Deposit:____________________ Refunding:__________________

Public Records Request Form - City Of Tillamook