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GRAMA Request Form
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First Name*
Last Name*
Organization (if applicable)
Full Address*
Street
City
State
Zip
Phone #*
Email Address*
City department or agency that maintains requested records (if known)
Description of requested records*
(records must be described with reasonable specificity)
How would you like to receive the requested records?
Inspect Only
Paper Copy
Paper Copy
Electronic Copy
Electronic Copy
I understand there may be fees associated with my request. Fees are charged in accordance with Utah Code 63G-2-203*
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Yes, I understand
I am requesting a waiver of costs for the following reason(s):
Pursuant to Utah Code Ann. 63G-2-203 (4)
I do hereby certify that the following apply to me
I am the subject of the record
Person Who Provided
I am the person who provided the information
I Am Authorized
I am authorized to have access by the subject of the record by the person who submitted the information and documentation required by Utah Code
Agency
A state, local, or federal agency
Member of Press
A member of the press or broadcast media
Other
Other
If other, please explain
Response Request
I am requesting expedited response as permitted by Utah Code Ann. 63G-2-204(4). (Please attach information that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication; or other information that demonstrates that you are entitled to expedited response.)
Please upload a copy of your government issued identification and any applicable credentials (journalist, etc.)*
.pdf or images only, 15MB limit
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