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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. Records Requested*
16. Format*

    Please select the format in which you would like to receive materials. Not all documents are available electronically. Data manipulation fees may apply.

    1. Email
    2. Hard copies

    1. View only, no copies needed. Appropriate personnel will be scheduled to accompany you during viewing.
18. Cost Estimate*

    Would you like the Town to provide an estimate of costs prior to incurring such costs as a pre-condition to processing your request?

    1. Yes
    2. No
20. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your request will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
22. Acknowledgement of Reasonable Charges*

    By signing this request, the requesting party acknowledges that, pursuant to Article VI of the Town’s Policy and Procedures Regarding Access to Public Records Pursuant to the Colorado Open Records Act, the requesting party understands that reasonable charges may be made for copies requested and that additional charges may be made for staff time when extensive research is necessary to locate a particular document or documents and/or to prepare a documents for release. Research and retrieval fees are chargeable after the first hour.

    1. I agree
24. Electronic Signature*
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field