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2. First Name*
3. Last Name*
5. Street Address 1*
7. Street Address
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Fax Number
    Please complete this field if you are requesting a return of information by fax.
16. Email Address
18. Records*
    I hereby request, pursuant to Idaho Code 74-102, to examine and/or receive a copy of the above public records. In order to expedite the search, please be as specific as possible.
20. Department*

    1. Police
    2. Public Works
    3. Planning & Zoning
    4. City Clerk

    1. Community Development
    2. Administration
    3. Treasurer

    1. Human Resources
    2. Fire
    3. Other
22. Signature of Person Making the Request
    I.C. 9-339(1) - If more than there (3) working days are needed to process this request, the requestor shall be notified, with the documents or written response within ten (10) working days.
24. Do You Agree?*

    By clicking 'I agree' you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature. You also acknowledge by agreeing to this electronic signature that the records that you are seeking will not be used for a mailing list or telephone number list as set forth in Idaho Code 74-120.

    1. I Agree
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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