CITY OF SANTA CRUZ
		PUBLIC RECORDS REQUEST FORM
City Clerk employees respond to public records requests from the public and make every effort to accommodate the requestor. You will be notified in writing within ten (10) calendar days whether your request seeks copies of disclosable public records prepared, owned, used or retained by the City, no records exist, or a 14-day extension is necessary. Please fill out the form below and refer to the public records request section on the City Clerk’s web page for more information related to The California Public Records Act, what are disclosable “Public Records,” how to request public records, inspection or collection of records, cost to request records, and what are identifiable public records. The City has 10 days to respond. After the 10th day, if you have not received an email, please contact City Clerk Bonnie Bush at bbush@cityofsantacruz.com

1

Name of Requestor:

 *

Name of Requestor:

2

Phone Number:

 *

Phone Number: ext.

3

What is your email address?

What is your email address?

If no EMAIL address, please provide mailing address below:

4

Street Address:

Street Address:

5

City, State, ZIP:

City, State, ZIP:

6

Please give a complete description of the information requested below:

 *

Please give a complete description of the information requested below:

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

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