2024 KORA Request Form (002)

REQUEST FORM FOR PUBLIC RECORDS INSPECTION

Pursuant to the Kansas Open Records Act, K.S.A. 45-215, et. seq., I submit the following written request:

I request access to, or copies of, the following public records

Name of requestor

Email

example@example.com

Phone Number

Please enter a valid phone number.

Street

City

State

Zip

Date submitted

Date

I hereby acknowledge that I am aware that the Kansas Open Records Act provides:

"No person shall knowingly sell, give or receive, for the purpose of selling or offering for sale any property or service to persons listed therein, any list of names and addresses contained in or derived from public records."

I further acknowledge that a violation of this provision shall result in liability "for the payment of a civil penalty in an action brought by the attorney general or county or district attorney in a sum set by the court not to exceed $500 for each violation."

Signature of Requestor