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Public Records Request Form

(San Francisco Sunshine Ordinance, Administrative Code §67.1 et. seq.)

Public Records Request Form (PDF)

Date: _________________________

San Francisco Fire Department
Public Records Officer
698 Second Street, Room 224
San Francisco, CA 94107
FAX: (415) 558-3407

Requester Name: _______________________________________________

Address: _____________________________________________________

City/State/Zip: ________________________________________________

Telephone: ____________________________________________________

Records Requested: (Please provide a reasonable description of the specific records)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

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Please use an additional page if more space is needed.

____ I want to inspect the records. Please advise me when the records are available for inspection at a location designated by the Fire Department.

____ I want to pick up copies of the documents from Fire Department Headquarters. Please advise me when the records are ready. I understand that I must pay 10 cents per copy before I can collect the records.

____ I want the documents mailed to the address above. I understand that I must pay for postage and 10 cents per copy before the Department will send the records.

____ If less than 10 pages, please FAX records to: _________________________

____ If less than 10 pages, please EMAIL records to: _________________________

Last updated: 11/9/2012 12:52:07 PM