Public Records Request Form – Lakewood City Clerk’s Office [Phone 303-987-7080; Fax 303-987-7088] June 2014 FINAL
Office of the City Clerk
480 South Allison Parkway
Lakewood, Colorado 80226-3127
ALL PUBLIC RECORDS REQUESTS MUST BE SUBMITTED
IN WRITING TO THE CITY CLERK’S OFFICE
Fax to 303-987-7088, or email to kimwon@lakewood.org, or mail/hand-deliver to
Lakewood City Clerk, 480 S. Allison Pkwy, Lakewood CO 80226
CITY OF LAKEWOOD PUBLIC RECORDS REQUEST
UNDER THE COLORADO OPEN RECORDS ACT
PLEASE PRINT
Name: Date of Request:
Address:
City: State: Zip Code:
Phone: Day Evening
Email Address:
Copies requested: Yes No
INSTRUCTIONS
Indicate the information you desire and/or list each requested document. Please be as
specific as possible. Allow 3 working days for a search of the records.
(See other side)
Public Records Request Form – Lakewood City Clerk’s Office [Phone 303-987-7080; Fax 303-987-7088] June 2014 FINAL
Basic Fee Schedule for Public Records – City of Lakewood
(a complete fee schedule is available on www.lakewood.org or from the City Clerk’s Office)
Fees & Charges – Public Records Requests
Fee
Copies – standard page (defined as a document created from word
processing, generated onto paper sized 8 ½ x 11 to 11” x 17” from a non-
color printing process)
$.25/page
Copy, printout, or photograph in a format other than a standard page
Actual cost to the City
Request for data in a form not used by the City
Actual cost to the City
Research and Retrieval
A 50% advance deposit may be required for public records
requests that will require significant staff time and resources to
complete.
A 100% advance deposit may be required for requests from
persons who have made previous records requests and not paid
or not come in to view the requested information.
Actual time spent in excess
of one hour x $30.00/hour
PLEASE NOTE:
UNDER COLORADO LAW, §18-8-114 C.R.S. (2010), IT IS A CLASS 1 MISDEMEANOR FOR ANY PERSON TO KNOWINGLY
MAKE A FALSE ENTRY OR ALTER ANY PUBLIC RECORD OR TO DESTROY, MULTILATE, CONCEAL, REMOVE, OR
IMPAIR THE AVAILABILITY OF ANY PUBLIC RECORD. “PUBLIC RECORD” INCLUDES ALL OFFICIAL BOOKS, PAPERS,
OR RECORDS CREATED, RECEIVED, OR USED BY OR IN ANY GOVERNMENTAL OFFICE OR AGENCY.
(For staff use only)
Request completed by: Date
Request denied by: Date
The Colorado Open Records Act (CORA) recognizes many types of information (“writings”) that
may, or must, remain closed to public inspection. Your request to view records may be denied
pursuant to C.R.S. §24-72-204.
Reason(s) for denial:
