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PUBLIC RECORD REQUEST FORM
Thank you for your request. Public records are available within 144 hours of a meeting
and usually are available sooner. If the record is confidential and exempt from
disclosure, you will be notified within those 5 days; however, the law allows 5 business
days to comply with a request from the date requested.
I, _________________________________ of __________________________________
________________________________________________________________________
am making a request for the following public records described as __________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________
(date)
______________________________
(Signature)
FOR CITY USE
Department ___________________________________
Released on __________________________ By: _______________________________
_____ Record unable to be disclosed due to the following non-public session or
exemption under RSA 91-A:5. ______________________
_____ Person notified of exemption on _________________________
_____ The record is in archives and is being researched. It will be sent to you as soon as
possible.