2. Please complete the online form below.
4. PERSONAL INFORMATION
6. Name of Individual or Company Request Records*
7. Date*
9. Mailing Address*
10. Contact Phone Number*
12. Contact Person*
13. Other Contact Phone Number*
15. Email Address*
16. Fax Number
18. RECORDS REQUESTED
20. Please describe in detail below the information/documents requested using as much specificity as possible.
22. I request to INSPECT ONLY the following documents or files*
24. I request copies of the following documents or files*
26. I prefer to receive copies of the documents or files in the following format*

    1. Hardcopy
    2. Electronic Copy
    3. Email Copy
    4. CD
28. 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. *

    1. Yes, I Understand
30. CERTIFICATION OF NONLITIGATION AFFILIATION
32. In accordance with Alaska Statutes 40.25.122, I certify that: *

    1. I am not involved in litigation, in a judicial or administrative forum, with the Kodiak Island Borough of another public agency to which the requested record is relevant;
    2. I am not acting on behalf of or otherwise representing any person who is involved in litigation with the Kodiak Island Borough or another public agency to which te requested record is relevant.
34. 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.
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36. 1. Receive an email copy of this form.
37. Email address

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38. Submit Submit and Print

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