* Indicates a required fieldThe information may or may not be available at the time requested or may not be available for public inspection. Should this occur, you will be informed, in writing and within 10 business days, of a date when the information will be available.Name*Phone*Driver's License Number*Mailing Address*City*State*Zip*Email*Date of Request*Public Information RequestIn accordance with the provisions of the Public Information Act, I hereby request copies of the following *(please be specific)WAIVER: Do you give permission to redact (remove) any information that is confidential pursuant to the Attorney General's Public Information Act, Sections: 522.101: Judicial Decisions: 552.102: Employees' personal privacy; 522.117: employee address, telephone nos., Social Security Nos, personal family information; 522.1175: personal information of security officers; 522.130(a); Driver's License , Permit, Title, Registration, Personal ID; 522.137: email addresses when communicating electronically with governmental body.* Yes NoElectronic Signature*First M. LastIf you need additional assistance, please contact the City Secretary's Office at 936.258.2642 ext. 1117Approval for Release of Public RecordsInternal use onlyDate ReceivedDate ReleasedFeesApproved for Release byApproval for release by City Secretary, City Manager City Attorney onlyCity Attorney Opinion Yes NoCommentsAG Opinion Yes NoDate SubmittedDate ReturnedApproved by AG Yes No Receive an email copy of this form.Email addressThis field is not part of the form submission.
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