GRAMA Records Request Form | Wasatch Front Waste & Recycling District

Indicates required field

Name of contact person, if known

First

Last

Leave blank if same as the contact name, above.

Phone

Confirm Email

Address

City

State

ZIP Code

GRAMA - Records Request

Description of records requested: (Be as specific as possible; type of records, subject, year or dates wanted, etc.)

Please note: state law does not require any agency to create any record to fulfill a request. GRAMA applies only to existing records. In some cases, you may need to provide a Social Security Number or other personal identifier to retrieve records. In the case of a request for medical records, the agency may require you to complete a HIPAA release. DO NOT include your Social Security Number on this form. The agency will provide a separate method for you to provide that number if it is needed.

Check all that are applicable:

I would like to review/inspect the records.

I would like to receive copies of the records.

I understand that I will be responsible for copy costs. I authorize I understand that prepayment of copies over $50.00 may be required and that I will be contacted if estimated costs are greater than the above specified amount.

I would like to receive copies of the records.

I request a waiver of costs under UCA 63G-2-203(4). Supporting documentation is attached.

If the requested records are not Public, please explain why you believe you are entitled to access.

I am the subject of the record. (Photo ID required)

I am the person who submitted the record (Photo ID required)

I am authorized to access the record by the subject of the record. (Consent for Release Form attached)

I am requesting an expedited response as permitted by UCA 63G-2-204(3)(b).

(Please attach information showing status as a member of the media and a statement that the records are required for a story for broadcast or publication, or other information demonstrating entitlement to an expedited response.)

Signature

Sign above