Open Records Request

City of Lenexa » Government » Departments & Divisions » City Clerk » Open Records Request

To request copies of public records, please fill out the public information request form below.

Your information and request will be sent to the City Clerk.

To be completed by Requester:

Name:
Address:	City, State, Zip:
Daytime Phone:	Mobile Phone:
Email:

CERTIFICATION:
I hereby certify that I do not intend to, and will not:

[A] Use any list of names or addresses contained in or derived from the records or information for the purpose of selling or offering for sale any property or service to any person listed or to any person who resides at any address listed; or

[B] sell, give or otherwise make available to any person any list of names or addresses contained in or derived from the records or information for the purpose of allowing that person to sell or offer for sale any property or service to any person listed or to any person who resides at any address listed. K.S.A. 45-220.

Signature:

Date:

RECORDS REQUESTED:
Please indicate your preference:

I wish to have copies provided

I wish to inspect the records

Please provide as specific a description as possible of the record(s) you are requesting. Include record titles and dates, as well as the name of the City department which produced or holds the record(s), if known. If your request cannot be fulfilled by the third business day following receipt of your request, an estimated timeframe for fulfilling your request will be provided.

Record Description	No. of copies
1.
2.
3.

Security Measure