2. Public Records Request - Town of Dewey-Humboldt

4. Thank you for your interest in Dewey-Humboldt Town Government. 

   Please identify as precisely as possible what document or record you desire. Do not use this form to ask a question or for documents available on the Town's website.  A charge of 25¢ per page will be assessed. If for commercial purposes, an additional hourly fee of $28.00 plus 25¢ per page duplicating fee. See Town Code Section 34.01 Fee Schedule for Town Documents.

6. Requesting Party*
7. Date*
   Date
9. Address1*
11. Address2
12. Box
14. City*
15. State*
16. Zip*
18. Phone*
19. Fax Number
21. Email Address*
23. List specifically the documents or records desired*

25. If you have questions about what is defined as a "Public Record," please consult Arizona Revised Statues [A.R.S.] 39-121 through 39-121.01 which is attached. Please identify as precisely as possible what document or record you desire. The State Public Records Law does not require the Town to answer questions or to furnish documents otherwise available on the Town's website. For example, if you want the agenda for the 12/7/2021 Town Council meeting, that document is on the website and available to you by going to the weblink of Town Meeting Documents and Videos | Dewey-Humboldt, AZ (dhaz.gov) and enter search in relevant area.

27. Review or Copy *

    1. Review
    2. Copy
29. Reason for Information Request*

    1. General information or research purposes
    2. Commercial purposes (Please note - Certain legal restrictions exist on the commercial use of governmental information - explain commercial use intended.)
31. Requesting Party Signature (Type Full Name)*
35. FOR OFFICE USE ONLY
37. Date Completed:
38. By:
39. Hourly Fee $
41. Duplication Fee $
42. FAX/Postage Fee $
43. Total Fees $
45. No. Pages Copies:
46. Copied By:
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field