Requesting Records & Information

2. 
4. Pursuant to the Public Information Act, Texas Government Code, Section 552, I hereby request the Following information currently existing in the records of the City of Clear Lake Shores, Texas:
6. First Name*
7. Last Name*
9. Address 1*
11. Address 2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Department*

    1. Police
    2. Building
    3. Public Works
    4. Clerk

    1. Community Development
    2. Administration
    3. Finance
    4. Other
22. Records*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible list any case numbers, dates, names if known .
24. How would you like to receive your request?

    1. I wish for a copy of the requested information. I understand that I must pay .10 cents per ($0.10) per page for standard size paper copies. Information copied onto nonstandard-size paper, cassette tap
    2. I will pick up the copies. Please call me when they are ready
    3. Please bill me and mail the copies to address provided. I understand that postage and shipping will be added to the charge for the copies.
    4. I do not want copies but wish to inspect the requested information. Please call me at number provided to schedule a time when records will be available.
26. Signature of person making the request
    The City will respond to this request withing ten (10) working days.
28. Do you agree?*

    In making this request I understand that the City of Clear Lake Shores is under no obligation to create a document to satisfy my request or to comply with a standing request for information will be released only in accordance with the Public Information Act, which may require a determination as to confidentiality by the Texas Attorney General prior to release. I further understand that the City of Clear Lake Shores has 10 business days in which to request such a determination.
    By clicking I agree, you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your ?electronic signature? is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field