Department of Administration Public Records Request

First Name *

Last Name *

Business Name, Affiliation or Representation *

Phone #

Email *

Street Address

Address 2

City

State / Province / Region

Zip / Postal Code

Description of public records requested for disclosure. Please include as much detail as possible. The more specific the better, so we are able to respond to your request. *

Add any files for this request (30 meg size limit)
Idaho State Code exempts certain documents from public disclosure, in which case, you will be notified. USE OF ANY LIST AS A MAILING LIST OR TELEPHONE LIST IS PROHIBITED BY IDAHO CODE §74-120 AND PUNISHABLE BY A CIVIL PENALTY UP TO $1,000. By submitting this Public Records Request, I certify that I will not use disclosed information for an illegal purpose. I also agree to reimburse the Idaho Department of Administration according to the established fee schedule.

I certify that I will not disclose information for an illegal purpose*.

Yes

For Official Use Only