Public Information and Records Request Form

In accordance with A.R.S. § 39-121 and A.R.S. § 39-121.01, public records are to be made available for public inspection upon request. However, various confidentiality laws and privileges may apply to certain records or parts of records. Public records not protected from disclosure will be made available.

Please read our Public Records Request Overview prior to submitting this form.

Requester Information

First name

Last Name

Company/Organization

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email

Confirm email

Phone Number

Category of Requester

Dates of Records

From

To

Description

Please describe the public records you are requesting. Please be as specific as possible in what you are asking for.

Commercial Request

If you are submitting a request for a commercial purpose, you must disclose this pursuant to A.R.S. § 39-121.03. Please note that a commercial usage fee may apply. For the purposes of this section, “commercial purpose” means the use of a public record for the purpose of sale or resale or for the purpose of producing a document containing all or part of the copy, printout or photograph for sale or the obtaining of names and addresses from public records for the purpose of solicitation or the sale of names and addresses to another for the purpose of solicitation or for any purpose in which the purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of the public record.

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Public Information and Records Request Form

Requester Information

Dates of Records?

Dates of Records