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Public Records Act Request Form

2. City of Yorba Linda
   Public Records Act Request Form
   <center>TO BE COMPLETED BY THE REQUESTOR</center>

   TO BE COMPLETED BY THE REQUESTOR

4. Upon receipt of a request for City records, the City shall determine within ten (10) days whether the request seeks copies of disclosable public records in possession of the City. (Government Code § 6250-6261).

   Upon receipt of a request for City records, the City shall determine within ten (10) days whether the request seeks copies of disclosable public records in possession of the City. (Government Code § 6250-6261).

6. Specify Type of Request
   -- Select One --CopiesInspection

8. Please specify documents requested for inspection and/or copying. To assist the City in your request, please identify each requested record/document separately. Please be as focused and specific as possible. Non-specific or unfocused requests may cause a response to be delayed.

10. Additional Information
    Please attach any other additional information (must be GIF, JPG, JPEG, PNG, or PDF file).

    Please attach any other additional information (must be GIF, JPG, JPEG, PNG, or PDF file).

12. Attachment

13. Attachment

14. Attachment

16. Date
    Date

18. Contact Information

20. Requestor’s Name*

22. Mailing Address

24. Telephone Number*

25. Email*

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field