Public Records Request Form

Your request can be made through the mail, email, or online form. If using mail or email, please download the form and fill it out completely. The District has 10 days to respond to the request.

Public Records Act Request.pdf

Then return the form to one of the addresses below:

Mail to 505 Lawrence Street, Quincy, CA 95971
Email to kwhite@qfd.ca.gov

To submit the online form, please read the following information and complete the required fields:

To expedite your request and to eliminate opportunities for error, please fill out this form completely with as much detail as possible and identify specifically the records you are requesting. The request should reasonably describe identifiable records prepared, owned, used, or retained by Quincy Fire Protection District. District staff is available to assist you in identifying the records in the control of the District based on your description. The District is not required by law to create a new record or list from an existing record.

Please note that if you are requesting the opportunity to inspect records stored at the District office, the District must be given time to locate and review documents that are responsive to your request in order to comply with the provisions of the Public Records Act. You will, therefore, be requested to make an appointment to return at a later date to view the documents.

You will be charged the direct cost of duplication for any documents received over ten (10) pages. Documents will not be copied until payment has been received.

Full Name (required)

Company (if applicable) (required)

Address (required)

City, State (required)

Zip Code (required)

Phone (required)

Email Address (required)

Date (MM/DD/YY (required)

Preferred method of contact (required)

Preferred method of contact

Mail

Phone

Email Address

Requested Records (include time period) (required)

Select method of reviewing records

I wish to inspect the requested records, and do not want copies produced at this time I am requesting to review documents in person. Contact me at my preferred contact method to arrange a date and time.

I wish to inspect the requested records, and I would like the records emailed to my contact email address above. I do not want copies produced at this time. I understand that information that is sensitive or confidential may not be sent via email. Records containing sensitive and /or confidential information may be inspected in person.

I would like copies of the requested records and I understand that I will be contacted with a count of the number of pages to be copied and their cost prior to copying. I understand and agree that I will be required to make payment ( cash, check or money orders only) for copying cost prior to the documents requested being copied.

Submission Acknowledgement

I acknowledge that I have read and accepted the guidelines for submitting a public records request to Quincy Fire Protection District.

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