Request for Public Records

2. Please list each document, file, or record separately.

4. I wish to

   1. Review

   1. Obtain Copies

6. Of the following public records:

10. I/We, the undersigned, request documents as indicated above. If copies are received, I agree to pay the City of San Gabriel for copies at the rate of no less than $0.10 (ten cents) per page for documents requested pursuant to the California Public Records Act Government Code 6250 - 6276.48

12. Name/Organization

14. Address 1*

16. Address 2

18. City*

19. State*

20. Zip*

22. E-Mail Address:*

24. Phone Number:*

25. Fax Number:

27. Office Hours 8:00 a.m. to 5:00 p.m. Monday - Friday and Tuesdays 8:00 a.m. - 6:30 p.m.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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