Request for Public Records

2. Requestor's First Name*

3. Requestor's Last Name*

5. Company/Organization

7. Mailing Address*

9. City*

10. State*

11. Zip*

13. Email Address

14. Phone Number

15. Fax

17. Description of Requested Record(s)*

    Describe the records you wish to receive. In order to expedite the search for public records, be as specific as possible.

19. Indicate Form of Retrieval*

    1. Pick-up
    2. Mail

    1. Email
    2. Fax
20. I give permission to redact any information that is confidential pursuant to Section 552 of the Texas Government Code (Open Records Act)*

    1. Yes

    1. No

22. Attachments, If Any

23. Date of Request
    Date of Request

24. Signature of Requestor

Leave This Blank:


25. 1. Receive email copy
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field