Open Records Request

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number*

Please enter a valid phone number.

By checking here, I declare that the information included in this request, including identity, is true and accurate.

Pursuant to the Public Information Act, Texas Government Code, Section 552, I hereby request the following information currently existing in the records of the city of Combine, Texas. Be as specific as possible, including names, dates, and case number if known.**

*Viewing Options (please choose one)*

I request paper copiesI request only to view at City HallI request copies emailed

In making this request, I understand that the City of Combine is under no obligation to create a document to satisfy my request or comply with the standing request for information. I further understand that the information will be released only in accordance with the Public Information Act, which may require a determination as to confidentiality by the Texas Attorney General prior to a release. I further understand that the City of Combine has ten (10) business days in which to request such a determination.

By checking here, you acknowledge that you have read and understand the information above.

For Office Use Only

# of copies: _____ Total Cost: $_______ Date of Completion: ________