Public Records Request Form Name of Requesting Party(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Non-Commercial Purpose I hereby request the custodian of records for Cochise County to provide for inspection and/or a copy or other reproduction, the following public record(s). I understand the fees outlined.Indicate with specificity the record(s) you wish to have copied or reproduced. Provide date(s) if possible.(Required)Pursuant to Arizona Revised Statutes (A.R.S.) Section 39-121.03, the applicant certifies that the purpose of said documents:(Required) Will not be used for commercial purpose Will be used for a commercial purpose Complete this area only if you are requesting records for a commercial purpose.(Required) I understandI hereby depose and state as follows: I have read and understand the instructions for commercial request for public records and certify that the following statement setting forth the commercial purpose for which the above requested public records will be used is true, correct and complete. I understand the fees as outlined.Give a brief explanationThe specific information which will be utilized from the record(s) requested is:Which will be used for sale or resale to (identify market and price):Describe document or material and price:Producing a document, information or other material containing all or part of the information in the public record: (Describe document or material and price)Which will be used for solicitation to (identify market for what and price):Which will be used for soliciting a business or commercial relationship. Describe and give price or value:FileMax. file size: 2 GB. For any questions please contact: Office of the Vice President for Administration VPAdmin@cochise.edu CAPTCHA
