Policy #722 Form

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.