Open Records Request Form
OKLAHOMA OPEN RECORDS ACT REQUEST FOR INFORMATION
CREEK COUNTY
NOTE: ALL REQUESTS FOR ACCESS TO PUBLIC RECORDS MAY BE REFERRED TO THE DISTRICT ATTORNEY TO ENSURE COMPLIANCE WITH STATE LAW.
The County reserves a minimum of three business days (24 working hours) in which to comply with this request, in order to allow sufficient time for retrieval, printing, copying and/or arrangements for inspection, as applicable, and assessment of applicable charges, without disrupting the essential functions of office staff.
Requests for copy or inspection of public records that require more than one hour of staff time for retrieval, compilation and/or monitoring of the inspection process may result in the imposition of a search fee equivalent to $______________ per hour.
Name of Department in Possession of Requested Records (if known) _____________________________________
Date of Request___________________________
Name _____________________________________________ Phone Number______________________________
This request is for [ ] INSPECTION or [ ] COPYING (please check one or both) of the following described records pursuant to the Oklahoma Open Records Act:
Record Description (Title/Date/Other Identifying Information) Number of Pages Number of Copies (if known)
- ________________________________________________ _____________ _______________
- ________________________________________________ _____________ _______________
- ________________________________________________ _____________ _______________
Please note that, in cases where only copies of records are available, inspection will be waived and you will be charged the appropriate copying charges only. Attach additional paper if more records or descriptive information are required.
Copies Need to be Certified as True and Correct: ______ Yes or ______No (Check one)
This request is made for: __ Business/Commercial Purposes or __ Personal Use __ Public Interest (Check one)
I have been advised that a charge for copying public records and a reasonable fee to recover the direct cost of record search may be authorized by State law and have been established as applicable.
______________________________________ ________________________________________
Signature of Requestor Title or Business Identity (If Applicable)
INTERNAL USE ONLY
Requested Information:
- _________________________________________ _________________________________________________
- ________________________________________ __________________________________________________
- ________________________________________ __________________________________________________
The following record(s), if any, were not produced for the reason(s) indicated:
Record Reason
- _________________________________________ __________________________________________________
- ________________________________________ ___________________________________________________
- ________________________________________ ___________________________________________________
Request Date: ___________ Request Time: _______________ Deputy:____________________
TIME STAMP AND RETURN A COPY TO REQUESTING PARTY WITH RESPONSE
Produced Date: _____________________ Produced Time:___________________________________
Delay in Production: Yes or No Reason for Delay, if any: ____________________________
No. of copies made: _____________ Copy charge @ 25¢ per copy: $_______________________
Certified copy charge @ $1.00 per copy: $ ______________
Inspection of Records: Search charge (if any) $____________________________
_______hours _________minutes Staff time charge (if any) $___________________________
Total Actual Charges: $ ___________________________
Deposit Paid (for estimated charges): $ ________________
Charges [or Refund] Owed:$ ________________________
Total Paid: $ __________ Receipt Number ____________
Information prepared by: ______________________ Information released by: ____________________________
Requested Information received by: ___________________________ Date: _______________________