PIR: Open Records/Public Information Request Form

2. City of Buda Request For Public Information

4. The information may or may not be available at the time requested. The City of Buda reserves ten (10) business days to provide the information requested; however, we will strive to accommodate your request as quickly as possible. Copies will be provided at ten cents ($0.10) per page. Any requests that contain 51 pages or more will be charged for labor at the rate of $15.00 per hour for the time to locate, compile and manipulate data and to reproduce the requested information and for overhead at 20 percent of any labor charge. Please see the fee schedule for a detailed listing of all potential charges If charges are estimated to exceed $40.00, we will provide you with an itemized statement of estimated charges. In some instances, we may require a deposit or pre-payment of anticipated copy costs.

6. POLICE DEPARTMENT REQUEST
   Police Department Request

   If you are requesting information regarding the Police Department, e.g. police citation, accident reports, or other police reports, click the link above to complete the proper form.

8. First Name*

   Insert First Name of Requestor

9. Last Name*

   Insert Last Name of Requestor

11. Address (Number & Street)*

    Insert Mailing Address of Requestor

12. Supplemental Address Information (Suite, APT Number)

14. City*

15. State*

16. Zip*

18. Requestor E-Mail Address*

    Insert e-mail address if electronic response is desired

19. Requestor Phone Number *

    Insert Phone Number

21. Date*
    Date

    Date

    Enter the date of request. Note the submission will be accepted and reviewed on the business date received by the City Clerk.

25. DESCRIPTION OF PUBLIC INFORMATION REQUESTED. PLEASE BE AS SPECIFIC AS POSSIBLE.*

27. Click here for TYPES OF INFORMATION instructions.

    Depending on the nature of your request, you may be directed to information available on the City's website or you may be redirected to other local entities. Please see the instructions for further information.

31. Please select the manner in which you wish to view the requested information

33. Option 1*

    1. I wish to physically inspect the requested information at the Office of the City Clerk or respective office.
    2. I wish to have copies made of the requested information at the authorized rates.

35. Consent to Redaction of Certain Personal Information

    1. I consent to have social security numbers, driver’s license numbers, vehicle registration, e-mail addresses of members of the public, and dates of birth redacted from the requested information.
    2. I consent to have the City of Buda’s officials’ & employees’ dates of birth, home addresses, personal phone numbers, personal e-mail addresses, emergency contact & family member information.

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field