Name(*) |
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Email(*) |
If you do not have an email address, please print a Records Request using the Forms link at left. |
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Address |
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City |
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State |
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Zip |
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Telephone(*) |
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Documents Requested |
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Record Type(*) |
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Please submit requests for confidential records on the fillable form located here: Confidential Record Request
Return the completed form in person or by mail:
Office of the Borough Clerk
144 N. Binkley Street
Soldotna, Alaska 99669
or by fax:
(907) 714-2388 |
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Title of Record(*) |
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Date of Record(*) |
This field is required. Please enter a date or a date range. |
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PLEASE DO NOT LIST PERSONAL INFORMATION IN THE DESCRIPTION FIELD (ex. social security numbers, dates of birth, etc.) |
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Description of Record(*) |
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I request the documents to be delivered to me by: |
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Contact Preference(*) |
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Fax Number |
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If other, please specify |
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I understand that I will be charged a fee of 25 cents plus sales tax for each page that I request to be copied. I further understand that if it is determined that my request(s) will require more than five hours of staff time per calendar month that I will pay, upon notification, the total actual personnel costs required to complete the search and/or copying tasks, per AS 40.25.110 (c).
Certificate of Non-Litigation Affiliation
I hereby certify that I am not involved in litigation, in a judicial or administrative forum (including, but not limited to, Planning Commission appeals, tax assessed value appeals, etc.) nor am I acting on behalf of or otherwise representing any party who is involved in litigation with the Kenai Peninsula Borough to which the requested record is relevant; and the requested public record is strictly for: |
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The requested public record is strictly for:(*) |
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On behalf of: (Name of business or organization) |
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I certify under penalty of perjury, that the foregoing statements are true. I further acknowledge that by typing my initials below I intend to fully sign this document. |
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Type your initials to sign(*) |
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Attachment (5MB Max) |
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