City of El Lago Form

2. First Name*
3. Last Name*
5. Address 1*
7. Address 2
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Is this a commercial request?*

    1. Yes

    1. No
16. When paper copies of records are requested, please be advised that state mandated charges will apply. Please note that records will not be released until payment has been received.*

    1. I understand charges will apply for paper copies.
    2. I do not choose to have paper copies.
17. When possible requested records will be disclosed electronically for no charge. Please supply the email address to disclose records:*
19. Please describe the public records you wish to recieve. In order to expedite the search for the records, please be as specific as possible.*
21. Department*

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

    1. Community Development
    2. Administration
    3. Finance
    4. Other
23. Signature of person making the request
25. Do you agree?*

    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
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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