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Please fill out the following information:

Please fill out the following information:

Name of Person Requesting Record:

Address:

City:

State:(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone Number:ext.

E-Mail Address:

Please list record(s) being requested:

NOTE:

Per Government Code Section § 7920.000, et seq., the City of Albany has ten (10) days from date request is received to respond to the requesting party. Copies of public documents shall be provided to the public at a cost of $.25 per page (letter sized, black and white) pursuant to the City of Albany Master Fee Schedule. The charge is at City's cost if public record is provided with other media formats or printed copies other than black and white, letter-sized paper copies.

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