Town of Sylvania

P.O. Box 150

Sylvania, AL 35988

Phone (256) 638-2604 Fax (256) 638-7670

PUBLIC RECORDS REQUEST FORM

Full Name (Please Print) _______________________________________________________

Address ______________________________________________________________________________

City, State, Zip ________________________________________________________________________

Telephone Fax _________________________________________________________________________

DESCRIPTION OF DOCUMENT(S)

(Please be specific)

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The town has ten days in which to respond to your request. You will be notified within the ten day period if additional time is necessary. If requesting copies of documents you will be required to pay $1.00 per page. The town is under no obligation to respond to requests which are not focused or specific. The town may withhold documents which are exempt from disclosure under state or federal law, including the attorney - client privilege or any other applicable privilege.

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For Office Use Only

Date Received _____________

Forwarded to __________________________ Department

Departmental Response Date_________________

Notification to Requestor ____________________

CC Time Expended _________________________