Public Records Request Form printable pdf download

Public Records Request

City of Oregon City

625 Center St.

Oregon City, OR 97045

503-657-0891

Submit request to: City Recorder, Fax: 503-657-7026 or E-mail:

Name: _______________________________________

Phone: ___________________________________

Address: _____________________________________

E-mail: ____________________________________

City/State/Zip______________________________________________________________________________

Provide detailed description of documents requested:

(Attach additional sheet if needed)

______________

_____________

______________

___________________________________________________________________________________________

REQUESTOR TO READ AND SIGN UPON SUBMITTING REQUEST

I understand that every person has a right to inspect any public record of a public body in this state, except as

otherwise provided by ORS 192.496 to 192.505. I understand that the documents or records requested may not

be immediately available for my review and that I may need to make an appointment to review the documents or

records. I acknowledge that there may be a cost for the research time to retrieve the requested records and costs

for duplication of requested documents. If research time is required, I understand I will be notified of the estimated

cost prior to retrieving the documents or records. I also understand that prepayment for research time and copies

may be required. I acknowledge that any documents or records made available to review must not be

disassembled and must be left intact, and that I cannot make copies myself.

___________________________________________

____________________________________

Signature of Requestor

Date

Business Name (if applicable): ______________________________________________

FOR INTERNAL USE ONLY

Department:

Planning

Building

Public Works

Code Enf.

Finance

City Recorder

Other______________

(See fee schedule for costs)

Copies: $.50 ea. (first 20 pgs.)

# Copies made: ______________

$.25 ea. (21-50 copies)

$.15 ea. (50+ copies)

Research fee (first ½ hour no charge):

Length of time: _______________ $

Other media or materials:

_______________________________________________________________ $

Receipt #

Total amount received

Request Filled By:______________________________________________________________

RETURN THIS FORM TO CITY RECORDER

Public Records Request Form

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