Request for Records (GRAMA)

Instructions

Please type the Requester name, Address, City, State, Zip, Daytime Phone and Date of the person(s) requesting a record.
Indicate the records sought (must be reasonably specific)
When you have finished typing the form, then press the button marked "Send Request."
Your GRAMA request will be processed as soon as possible.
A GRAMA request form is also available to download in PDF format. You will need Adobe Reader to view a PDF form.

Requester Name:
Address:	To Address:
City, ST Zip:	,
Daytime Phone:
Date:

Description of Records Sought (must be reasonably specific):

	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 am requesting expedited response.*

*Please provide information showing 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 UCA 63-2-204(3).

	Records requested are public.
If the records are not public, please explain why you believe you are entitled to access them.
	I am the subject of the record. (Private records only)
	I am the person who provided the information. (Protected records only)
	I am authorized to have access by the subject of the record or by the person who submitted the information. (Please provide documentation** required by UCA 63-2-202.)
	Other. Explain below

Explain Other:

**Documentation for accessing private/protected records: