Request for Public Records

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This form is to request public records from the Pocatello/Chubbuck School District 25

Email *

I request (please check all that apply) *

To examine

A copy of

The following records: *

Will the records requested above be used as a mailing or telephone list? (Per Idaho Code 74-102) *

Yes

First and last name *

Mailing Address *

Phone number *

Today's date *

YYYY

Per Idaho Code 74-103, if more than three working days are needed to locate or retrieve the requested records, you will be notified and a response shall be provided within ten working days of this request. The first two (2) hours of labor and one hundred (100) pages of copies to complete your request are free. An estimate will be provided to you for your approval for any requests that exceed those parameters. Copies are $.03 for black and white and $.09 for color. *

I understand

FOR OFFICIAL USE ONLY:

Date Received:

Copies picked up:

Copies mailed:

Payment received (if applicable)

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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