Request To Inspect Public Records Online Form
Contact Info
Online Records Request Form
Los Alamos County logo

Los Alamos County

Barb Ricci
Designated Custodian of Records
1000 Central Avenue, Suite 190
Los Alamos, NM 87544
(505) 663-1891

Request to Inspect Public Records (IPRA)

*Requirement to complete an IPRA form. Pursuant to 14-2-8 (C)

Date of Request: 

Name & Address of Requestor

 

* Name:

* E-mail Address: 

* Mailing P.O. or Street Address:

Daytime Phone # (if we have questions concerning your request)
* City/State/Zip Code
Fax Number

Check one option below:

 I would like to inspect and then possibly request a copy of the documents listed below

OR

I waive my right to inspect - please furnish me with a copy of the documents listed below - if cost will exceed $, then please notify me in advance of making any copies **

**  Requestor in entitled to fifteen (15) free copies for documents 11"x17" in size or smaller.  Each copy in excess of 15 pages will be charged forty cents ($.40) per page for documents 11"x17" in size or smaller.  If a requestor wants a document larger than 11"x17", the cost per copy shall be $1.50 per square foot.  At the Custodian's discretion and based upon size and volume of the request, the copies may be made by the County using a local copy service, in which case the requestor shall reimburse the County's actual cost.

List records requested below:(Please provide a detailed and specific description of the records sought)

I understand that I must pay the County any fees for copies I request. prior to those copies being provided.  
Payment shall be provided in cash or check only.

 



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