Public Records Request - City of Brockton

Please note that this form is to request public records under the Freedom of Information Act. It should not be used to request Birth Certificates, Marriage Licenses, or things of that nature. Those can be obtained by contacting the City Clerk's office at (508) 580-7114.

Brockton Guidelines for Public Records Requests

CITY OF BROCKTON

PUBLIC RECORDS REQUEST FORM

Public records request will be responded to within ten (10) business days from receipt of request. Responses may identify additional information and or time need to complete the request. In accordance with Public Records Law, EXEMPTIONS will be redacted or otherwise withheld from materials provided.

Please be as specific as possible when identifying records requested. The first two hours of work performed to respond to a public records request are free of charge. After that, there will be a charge up to $25.00 per hour. The city may charge up to $0.05 for black and white paper copies and may charge the actual cost of electronic storage devices (i.e. DVDs, memory sticks, etc..).

Step 1 of 2

I acknowledge that I am not requesting a Birth Certificate, Marriage License, or anything of that nature. I will instead call (508) 580-7114 for those requests.*
- I Agree

REQUEST INFORMATION
Date of Request:
MM slash DD slash YYYY
City Department Requesting From:
Detailed Descripting of the Records Requested:
Date Range (If Applicable) From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
REQUESTER'S INFORMATION
Name:
Firm/Company:
Address
Street Address Address Line 2 City State ZIP Code
Phone Number:
Email:*
Response Format: