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Public Records Request

    Request for Public Information
  2. The following policies apply to all requests for materials/documents:
    1. Each request, after its receipt, is reviewed by the offices of the City Clerk and City Attorney. The requestor will be notified when the materials are available. Payment is due prior to receipt of the requested materials and/or information. 2. Materials may be faxed or emailed after payment has been received (including cost of transmission, if applicable). Materials requested to be mailed will be sent by first class mail after receipt of payment (including cost of postage). Make checks payable to the CITY OF SHOW LOW. 3. Charges for copies will be applied pursuant to a resolution of the Show Low City Council.
  3. Action Requested*
    Check all that apply
  4. Is this a commercial request?*
    COMMERCIAL PURPOSE means using a public record for the purpose of sale or resale, producing a document or photograph for sale, or obtaining names and addresses for solicitation or sale; or any purpose in which requester can reasonably anticipate receiving monetary gain from direct or indirect use of the public record. Commercial purpose does NOT mean using a public record as evidence or as research for evidence in any action in any judicial or quasi-judicial body.
  5. All commercial requests must be notarized. If this is a commercial request, please PRINT the form, have it NOTARIZED, and SUBMIT VIA FAX to (928) 532-4009 or Email.
  6. 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.
  7. AFFIDAVIT (required for commercial records requests)
    Application for Public Records for Commercial Purposes
  8. The undersigned, under oath, hereby deposes and states as follows in accordance with A.R.S. Section 39-121.03(a):
    That the foregoing Application for Public Records sets forth accurately the commercial purposes for which the public records will be used pursuant to A.R.S. Section 39-121.03(a).
  9. Dated this ______ day of _______________, 20___.
    County of Navajo )
  11. This instrument was acknowledge before me this ______ day of ____________, 20____, by _______________________________.
  12. _____________________________________________
    Notary Public
  13. My Commission Expires:_________________________
  15. Received by:_________________________
  16. Date received:________________
  17. City Clerk__________
  18. City Attorney__________
  19. Building__________
  20. Finance__________
  21. Public Works__________
  22. Other dept__________
  23. Notification to Req.__________
  24. Fee__________
  25. Date paid__________
  26. Picked up/Mailed/Emailed__________
  27. Leave This Blank:

  28. This field is not part of the form submission.