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2. 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."  

   Records request does not mean, “create a record . . compile, format, manipulate, package, summarize, or tailor information” or “provide a record in a particular format, medium, or program not currently maintained by [the City].”  See id. § 63G-2-201(8). 

4. Requestor's Name*
6. Address*
7. email address*
9. City*
10. State*
11. Zip*
12. Daytime Phone*

14. I am seeking the following RECORDS which I believe are collected, filed and/or used by the City of Bluffdale, 2222 W 14400 S, Bluffdale, Utah 84065, as described below:

16. RECORDS DESCRIPTION
18. 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.
20. 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.

21. Date*
    Date
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field