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Citizens Leadership Academy

Human Resources
PART Customer Comments

Police Civil Service Application for Written Examination
Right to Know Request Form

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Standard Right-To-Know Request Form

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Date of Requested
Date of Requested
First Name
Last Name
Address
City*
State*
Zip*
Phone Number
Email Address
Records Requested ($.25 per black & white page, $.50 color, if not available electronically):*
*Provide as much specific detail as possible so the agency can identify the information.
Do you want copies?
1. Yes
1. No
Do you want to inspect the records?
1. Yes
1. No
Do you want certified copies of records?
*Additional $5/page
1. Yes
1. No
** PLEASE NOTE: RETAIN A COPY OF THIS REQUEST FOR YOUR FILES **
** IT IS A REQUIRED DOCUMENT IF YOU WOULD NEED TO FILE AN APPEAL **