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2. Is this a request for police records?*

   1. Yes
   2. No
4. Date*
   Date
6. First Name of Requestor*
7. Last Name*
9. Street Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address
18. Describe the public records that you are requesting. To expedite the search, be as specific as possible. If known, include date(s) of requested records.*
20. Copy Pricing
    Standard black and white photocopies will be provided at no charge for the first 50 pages. Requestor will be charged 15 cents per page beyond 50. Color copies are 20 cents per page. Certification is $1 per document.
22. Is this request being made for commercial purpose?

    1. Yes
    2. No
24. The City of Litchfield will respond to this request within 5 business days. If responding to the request requires an extension of time up to 5 additional days, the requestor will be sent notice in writing. Commercial requests will receive a response within 21 business days.
26. Electronic Signature*

    Type Full Name

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field