Open Records Request Form

The Nebraska Public Records Access guarantees Citizens the right to obtain copies of Public Records that are Not Exempt from disclosure by specific provisions of law. Citizens have a right to obtain a copy of any City Agency’s Procedures or Ordinance for access to Non-Exempt and Existing Records, and to request assistance from the Seward City Clerk, Freedom of Information Officer, or Designated Representative. The City may require that requests be submitted in writing; this form is provided for convenience, but is not required. If a request is denied, the City of Seward must provide specific reasons for denial, and the requester has a right to receive such response in writing.

Information Provided by Requester

Date of Request

Submitted To (Dept/Agency)

Name

Mailing Address

Telephone

Email Address (optional)

Fax Number (optional)

Please clearly identify the records requested as specifically as possible, or fully describe the information you want.

I request to: (please check all that apply)
Inspect the records named/described.Make notes from the records named/described.Obtain copies of some of the records named/described.Obtain copies of all records named/described.

If the requested record(s) are not available, how should we respond back to your request?
Call me to discuss.Fax to me at the telephone number I provided.Email me at the email address I provided.Send by mail to the address I provided.I will return in person.

Requester Signature
(Please sign your name in the box below using your mouse on a desktop computer or with your finger on a touchscreen.)

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