Records Requests

2. Requestor's Name*
4. Address*
5. email address*
7. City*
8. State*
9. Zip*
10. Daytime Phone*
12. Government Records Access Management Act

    In accordance with the Government Records Access and Management Act, as set forth in Utah Code Ann. §§ 63-2-101, et seq., a person making a request for a government record shall furnish the governmental entity with a written request containing required information and a description of the records requested that identifies the record with reasonable specificity. I am seeking the following records(s) SPECIFICALLY described which I believe are collected, filed and/or used by the City of Bluffdale, 2222 W 14400 S, Bluffdale, Utah 84065.

14. Description of Records Requested:
16. I would like to:*

    1. view/inspect the record
    2. receive copies of the requested record(s). I agree to pay a reasonable fee to cover the City's actual cost of duplicating the records.
18. Electronic Signature*

    1. I agree

    By checking 'I Agree', you agree to acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

19. Date*
    Date
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field