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Open Records Request Form

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)

 

  1. ________________________________________________ _____________ _______________

 

  1. ________________________________________________ _____________ _______________

 

  1. ________________________________________________ _____________ _______________

 

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:

  1. _________________________________________ _________________________________________________
  2. ________________________________________ __________________________________________________
  3. ________________________________________ __________________________________________________

 

 

 

 

The following record(s), if any, were not produced for the reason(s) indicated:

Record Reason

  1. _________________________________________ __________________________________________________
  2. ________________________________________ ___________________________________________________
  3. ________________________________________ ___________________________________________________

 

 

 

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 @ $____ 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: _______________________