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Public Records Request Form

  1. Government Code Section 6250-6270

  2. Administrative Services Department

    Phone: 916-405-7150, Fax: 916-685-5216

  3. For Internal Use Only

  4. The CSD, upon a request for a copy of records, shall, within 10 days from receipt of the request, determine whether the request, in whole or in part, seeks copies of disclosable public records in the possession of the District and shall promptly notify the requestor of the determination and the reasons therefore and will provide the requestor with an estimated date and time when the records will be made available.

  5. Contact Preference *

  6. (Optional, required for response by email)

  7. (Optional, required for response by US mail)

  8. Optional

  9. Optional

  10. Please be as specific as possible.

  11. I/We the undersigned, request documents as indicated and agree to pay for copies provided at the rate of ten cents ($0.10) per page or the cost of reproduction to use an outside vendor if necessary plus shipping. Payments in check or cash please.

  12. Please Print, Sign, & Send Completed Form To:

    Administrative Services Department, 8820 Elk Grove Blvd., Elk Grove, CA 95624, Fax: 916-685-5216

  13. For Internal Use Only

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