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Records Request Form

  1. Please complete the online form below.

  2. PERSONAL INFORMATION

  3. RECORDS REQUESTED

  4. Please describe in detail below the information/documents requested using as much specificity as possible.

  5. I prefer to receive copies of the documents or files in the following format*

  6. I understand that I will be charged a fee for each page after the first 20 pages that I request to be copied/scanned. I further understand that in accordance with KIB Code 2.40.040(B) if the production of records for my requests in a calendar month exceeds five hours of staff time, the Borough shall require me to pay the personnel costs required during the month to complete the search and/or copying tasks. Fees and costs are established by resolution and can be found in the Borough’s current and adopted fee schedule. *

  7. CERTIFICATION OF NONLITIGATION AFFILIATION

  8. In accordance with Alaska Statutes 40.25.122, I certify that: *

  9. In accordance with KIB Code 2.40.030, within 10 business days of receiving this request, records will be provided, the deadline could be extended upon notice to the requestor, or the reason we are unable to provide the requested information will be provided to you. If you have questions, please call 907-486-9310.

  10. CLERK'S OFFICE REPLY TO YOUR PUBLIC RECORDS REQUEST

  11. ____ Inspection only (no copies or scanning required)

  12. ____ Enclosed are the records you requested
    _______ Hardcopy
    _______ Electronic Copy
    _______ Email Copy

  13. ____ Enclosed are the records you requested and have paid $________
    _______ Hardcopy
    _______ Electronic Copy
    _______ Email Copy

  14. ____ The records you requested have been provided on CD or DVD @ $5 per disk, for a total cost of $____________.

  15. ____ The records you requested have been located and exceed the number of pages and/or hours or research that the Borough provides at no charge. The cost is $__________ for ________ pages at $__________ per page and/or the cost of $__________ for __________ hours of research. You will be required to submit a deposit in the amount of $________ before the records request process will be initiated, and final payment will be payable once records are disclosed.

  16. ____ We are unable to provide the records you requested
    _______ A search was made, but no records were found.
    _______ A search was made, but the requested item is not available because it is not a public record for the following reason:__________________________________
    _______ We are unable to find the record you requested because the request did not include sufficient information to find it. Please contact the Borough Clerk's Office at 907-486-9310.
    _______ Not within the Borough's jurisdiction.

  17. CLERKS' OFFICE STAFF USE ONLY

  18. Leave This Blank:

  19. This field is not part of the form submission.