Public Records Request Form

This form is provided to help District staff respond to records requests as promptly and efficiently as possible. Please note that you are not required to use this form; any format may be used. Please direct all requests to the Executive Services Manager. You will be notified within 10 days of the status of your request.

Date

Full Name

Organization (if any)

Mailing Address

Mailing Address (2)

City

State

Zip Code

Phone

Fax Number

E-mail

Records Being Requested (please be specific)*

Additional Information - Uploaded file must be in a .txt format

Upload

I would like the above records (please check one):

Copied (Price is.10 per page, .15 for 11x17. Large requests may require advance deposit.)
If available, provided in electronic format
Assembled for inspection (Someone will contact you to schedule an appointment)

South Tahoe Public Utility District

1275 Meadow Crest Drive * South Lake Tahoe, CA 96150

Phone 530.544.6474 x6203 * Facsimile 530.541.0614 * www.stpud.us

email: mguttry@stpud.dst.ca.us

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Public Records Request Form