Public Records Request Form

COMPLETE all fields on this form. This form is to facilitate and expedite the processing of your public records request. Describe identifiable records in the possession of the District; your request must be sufficiently focused and specific to allow the District to locate the requested record(s).

1

Name:

2

Email:

3

Phone Number:

ext.

4

Please describe the records to be requested

5

How would you like to receive your records?

Have Records Emailed to you

Pick up at 11201 Harrel Street, Jurupa Valley CA 91752

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Please note that information contained in any PRA request is a public record and may be subject to public inspection pursuant to the CA Public Records Act.

Your request will be processed in compliance with the Public Records Act California Government Code § 6253.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

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