CITY OF SALISBURY
PUBLIC INFORMATION ACT
REQUEST FORM





Date of Request :


Applicant Name
  Street Address                         City                     State            Zip

Home Phone Business Phone E-Mail Address
Description of Requested Public Document:.

Form of Response:

Inspection of documents only
Copies of documents (Requires prepayment of copying costs - $.25 per page, unless separate departmental fee schedule applies. No fee will be assessed if totaling $1.00 or less.)
          Method of delivery:
                   Pick up (You will be notified by telephone or E-Mail when documents are available.)
                   Mail to address indicated above (Requires prepayment of postage costs.)
The City of Salisbury will produce the requested documents within thirty (30) days if the documents are available. If your request is denied, you will be notified within ten (10) days.

If the request requires more than two (2) hours to research and compile, you may be charged for the employee's time after the first two hours. You will be notified of the estimated cost and, if the scope of work is extensive, a __% deposit may be required.

 

 

  Electronic Signature

 


 
Contact Information
Name
Email Address
Phone
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