City of Madera
Public Records Request Form

Public Records Request Form Overview


    Written Request for Release of Information


    Requestor's Information


    Cost Information


    • $.10 per page single sided & $.15 for double sided paper copies
    • 
Mailing costs are dependent on the USPS rates, materials requested, volume of records, etc.


    Records Requested:

    Please describe to the best of your ability the identifiable record(s) you are requesting. Government Code Section 6253(c) provides public agencies up to 10 days to determine if a record being requested is a public document. In no case will this provision be used as a reason to delay delivery of a document. In the event the document cannot be provided you will receive a written explanation of the cause for non-release. Please be very specific in your request and if possible describe type, date, subject, title, site address, location, etc. of all records requested:

    I, , certify under penalty of perjury that to the best of my knowledge all the information I included on this e-form is true.