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2. The City of Cleburne fully supports the spirit of the Texas Public Information Act. To request records, complete this form and submit online. Please be specific when describing the information being requested. Staff will gather the information, review it, and have a response within the time period prescribed by law.

4. Requestor's First Name*
5. Requestor's Last Name*
7. Company/Organization
9. Mailing Address*
11. City*
12. State*
13. Zip*
15. Email Address
16. Phone Number
17. Fax
19. Indicate Form of Retrieval*

    1. Pick-up
    2. Mail
    3. Email
    4. Fax
20. Type of Record*

    1. Police Record
    2. Fire Record
    3. Municipal Court Record
    4. All Other Records
21. Relationship to the person in report/record

    1. Self
    2. Parent
    3. Legal Representation
    4. Other
22. I give permission to redact information that is confidential pursuant to Section 552, Texas Gov't Code*

    1. Yes
    2. No
24. 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.  For Police Department records, provide all information known such as: case number, name(s) of person(s) involved, date of birth, date of incident, location, offense, etc.

26. Attachments, If Any
27. Date of Request
    Date of Request
28. Signature of Requestor
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field