Form Center

2. Request for Record Inspection
4. Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Country
14. Phone Number*
15. Email
17. Certification*

    I do not intend to, and will not: [A] Use any list of names or addresses contained in or derived from the records or information for the purpose of selling or offering for sale any property or service to any person listed or to any person who resides at any addresses listed; or [B] sell, give or otherwise make available to any person any list of names or addresses contained in or derived from the records or information for the purposes of allowing that person to sell or offer for sale any property or service to any person listed or to any person who resides at any address listed. [K.S.A. § 45-220]

    1. I consent
19. Records Request*
    Please provide as specific a description as possible of the record(s) you desire to inspect. Include record titles and dates, as well as the names of city agencies or departments which produced or hold the record(s), if known. The City will respond to your request as soon as possible, but no later than the third business day following the date the request is received by the records custodian.
21. Charges
    A charge for providing copies of public records is authorized by state law. These charges are set at a level to compensate the City for the actual costs incurred in honoring your request. You will be informed of your charge after the City Clerk receives your request.
23. Preferred Method of Contact*

    1. Email
    2. Phone Number
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field