Scribd
Upload
66 views

Public Records Request Form

This document is a request form for public records from the Commission on Judicial Conduct. It asks for the requestor's contact information, a description of the requested records, number of copies needed, total number of pages, applicable fees and charges, and requires the requestor's signature certifying the records will not be used for commercial purposes and they understand the rules for accessing public records.

Uploaded by

Mike Sisco
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
66 views

Public Records Request Form

This document is a request form for public records from the Commission on Judicial Conduct. It asks for the requestor's contact information, a description of the requested records, number of copies needed, total number of pages, applicable fees and charges, and requires the requestor's signature certifying the records will not be used for commercial purposes and they understand the rules for accessing public records.

Uploaded by

Mike Sisco
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

COMMISSION ON JUDICIAL CONDUCT

REQUEST FOR PUBLIC RECORDS

Date:

Name:

Address:

Telephone:

Representing:

Description of Records:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Number of copies:

Number of pages:

Per page charge: 0.15

Charge:

Shipping:

Tax:

TOTAL: Cash_____ Check_____

I certify that lists of names obtained through this request for public records will not be used
for commercial purposes. I understand that I must abide by the Rules and Regulations
published by the agency identified, for the protection of the public records, a copy of which
I have read and understand.

Staff Initials X__________________________________


Requestor’s Signature

You might also like