FOIA Request Form – Tri-State Fire Protection District

Freedom of Information Act (FOIA) Request for Records

Freedom of Information Act (FOIA)

Request for Records Form

**Note to Requester: Retain a copy of this request for your files. If you eventually need to file a Request with the Public Access Counselor, you will need to submit a copy of your FOIA request.**

Name of Requester(Required)

First Last

Phone(Required)

Company (if applicable)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Your Email Address(Required)

Records Requested(Required)

Records Requested: *Provide as much specific detail as possible so the public body can identify the information that you are seeking. You may attach additional pages, if necessary.

Is this request for a commercial purpose?(Required)

Yes

Are you requesting a fee waiver?(Required)

Yes