Public Record Request

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.
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

I hearby request to inspect the following documents.
Title of Record(*)
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Date of Record(*)
Please use the date picker to select the Date of Record.
Description of Record(*)
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I request the documents to be delivered to me by:
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 am not involved in litigation, in a judicial or administrative forum, 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;
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.
Type your initials to sign(*)
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Attachment (5MB Max)
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