wwh 8/08

 

 

PUBLIC REQUEST FOR OPEN RECORDS FORM

 

Douglas County School District records are public unless otherwise protected from disclosure

and shall be available for inspection during regular business hours upon request made to the

District Communications Office at 303.387.0033. Inspection of the record shall take place where

designated by the Communications Office, and will not be disruptive to the operations of the

office, and shall be done in the presence of the custodian of the record. There is no duty to

create a public record that does not already exist. If more than one hour of staff time will be

required to respond to the request for records, such staff time in excess of one hour shall be

charged to the person seeking access at a rate of $20 per hour, to be paid prior to inspection of

the records. Copies may be furnished upon request and within a reasonable time at a cost not

to exceed .25 cents per page to be determined by the Superintendent, paid in advance.

Person Requesting Information & Affiliation

____________________________________________________________________________

 

Name Date of Request

_____________________________________________

 

Address

_____________________________________________

_____________________________________________

 

Telephone Number

_____________________________________________

 

Information and/or Documents Requested (Please be specific):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

Reason for Requesting Information and/or Documents:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

Date of Notification to Requesting Party ______________ Cost _____________

Approved _____ By: ___________________________________

Denied _______ By: ___________________________________

 

Reason Denied:

Confidential Personnel Record ____ Does Not Exist ____

Confidential Student Record _____ Other____ Explain _____________

_________________________________________________________

_________________________________________________________

 

Need Inspection Only _____

Need Copies _____

*Forms should be emailed to Whei.Wong@dcsdk12.org and Communications@dcsdk12.org.