Online Grama Request Form
Government Records Access and Management Act
Please Fill All Fields
*To
Required field. Please Enter The Record Holder
*Address of government office
Required field. Please Enter The Street Address
*City
Required field. Please Enter The City
State
Required field. Please Enter The State
Required field. Please Enter The Zip Code
*Description of records sought
(records must be described with reasonable specificity):
Required field. Please Enter Description
I would like to inspect the records
I would like to receive a copy of the records.
I understand that I will be responsible for copy costs.
I authorize costs of up to
$
Required field.
I would like to receive a copy of the records and request a waiver of copy costs because:
Release of the records primarily benefits the public rather than me.
I am the subject of the record.
I am the authorized representative of the subject of the record.
My legal rights are directly affected by the record and I am impecunious.
If the requested records are not public, please explain why you believe you are entitled to access:
I am the subject of the record.
I am the person who provided the information.
I am authorized to have access by the subject of the record or by the person who submitted the information.
Other.
Explain:
Required field. Please Enter The Record Holder
I am requesting an expedited response.
(Please provide information that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication; or please provide other information that demonstrates that you are entitled to expedited response under U.C.A. ยง63G-2-204(3).)
*First Name
Required field. Please Enter Your First Name
*Last Name
Required field. Please Enter Your Last Name
*Email
Required field. Please Enter Your Email Address
*Phone Number
Required field. Please Enter Your Phone Number
*Street
Required field. Please Enter Your Address
*City
Required field. Please Enter Your City
*State
State
Required field. Please Select Your State
*Zip
Required field. Please Enter Your Zip Code
Submit
Note: It may take up to 10 days for this office to submit a response to your request