Submit Open Records Request

First and Last Name

Address

City

State

Zip

Phone Number

E-mail

Under the Wisconsin Open Records Law, §19.31 et seq., I am requesting an opportunity to inspect or obtain copies of public records that

Describe

[Describe the records or information sought with enough detail for the public agency to respond. Be as specific as your knowledge of the available records will allow. But it is more important to describe the information you are seeking.]

If there are any fees greater than: $

If there are any fees for searching or copying these records, please inform me if the cost will exceed the above specified amount. However, I would also like to request a waiver of all fees in that the disclosure of the requested information is in the public interest and will contribute significantly to the public’s understanding. This information is not being sought for commercial purposes.

I would request a response in writing, within the 10 days described by law, if you intend to deny this request. Also, if you expect a significant delay in fulfilling this request, please contact me with information about when I might expect copies or the ability to inspect the requested records. If you deny any or all of this request, please cite each specific exemption you feel justifies the refusal to release the information and notify me of the appeal procedures available to me under the law. Thank you for considering my request.

Department Requesting Records From

Date

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