slider bottom background

Records Request

SUBMIT REQUEST TO THE CITY CLERK AT ADDRESS OR FAX # LISTED BELOW OR EMAIL TO ejones@augustagov.org THIS REQUEST MAY BE REJECTED UNLESS ALL ITEMS ARE COMPLETED AND CORRECT FEES SUBMITTED
augusta logo
PO Box 489, Augusta KS 67010
Fax (316)775-4566

REQUEST FOR OPEN RECORD

Date:
 

Name:
 

Address:


Phone #:


Signature:


Description: Please provide a specific description of the record(s) you are requesting. Include the record title, date, department, or any other pertinent information:


Charges: A charge for providing access to public records is authorized by state law. These charges are set at a level to compensate the city for the actual costs incurred in honoring records requests. The fee schedule established by the city is posted below.

Paper Copies: $0.25 per page
Qty   Total 

Faxed Copies: $0.25 per page (local)
Qty   Total 

Faxed Copies: $0.30 per page (long distance)
Qty   Total 

Research: $12.50 per half hour
Qty   Total 

Postage:
Qty   Total 

Other Chages: 
Qty  Total 

Total Charges Due: 


Prepaid   Paid   Billed