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Buckeye Water Conservation and Drainage District
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Public Request Form
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" indicates required fields
Requester Information
Name
*
Email
*
Phone
Please provide a phone number in case we have any questions regarding your request.
Category of Requester
*
Media
Attorney
Constituent / Individual
Business
Lobbyist
Organization
Records Request
Request Type
*
What type of public records are you looking for?
Usage Reports
Communications
Legal Documents
Notices of Claim
Procurement Records
Personnel Actions
Dates of Record
What is the range of dates for the request?
From
*
MM slash DD slash YYYY
To
*
MM slash DD slash YYYY
Description
*
Name(s) On Record
Name of person(s) on the record or document and/or name of the person(s) involved in the category of records requested
Delivery Method
*
E-mail
CD/DVD
Paper Copy
Mail
In Person
Unless otherwise specified, records will be emailed in an electronic format. You must specify if you wish to receive records in an alternative format (paper copies, CD, DVD, etc.) or via mail or in person.
Commercial Request
Yes
No
If you are submitting a request for a commercial purpose, you must disclose this pursuant to A.R.S. 39-121.03. Please note that a commercial usage fee may apply. Commercial requests should include a fee schedule outlining the "value of the reproduction [of the record] on the commercial market" (A.R.S. 39-121.03(A)).
Attachment
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Please attach any additional information that would help us process your request.
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Buckeye Water Conservation and Drainage District
