INDEPENDENT SCHOOL DISTRICT NO. 84
PUBLIC DATA REQUEST FORM
to be completed by the requestor
| requestor name (not required): | phone number:* |
| address:* | email address:* |
| date of request: | |
| description of the information requested: (attach additional page if necessary) | |
| manner in which responsive data is to be provided: inspection only copies only** both inspection and copies** **Inspection is free, but there is a charge for copies. Payment must be received before copies will be provided. | |
for office use only
| date request received: | request received by: |
| date of response: | response provided by: |
* Requestor’s name is optional. However, contact information is necessary to mail/email the data. Also, contact information is needed if the school district does not understand the request. We will not work on such a request until clarified.

