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2. Request to Inspect Public Records

   Pursuant to the Kentucky Open Records Act (“the Act”), KRS 61.870 et seq., the undersigned requests to inspect the public records which are described below.

   
   

4. Requester's contact information
6. Name*
7. Email Address
9. Address
11. City
12. State
13. Zip Code
15. Phone Number*
16. Fax Number
18. Records to be inspected:
20. Statement regarding the use of public records.

    KRS 61.870(4) defines “commercial purpose” as “the direct or indirect use of any part of a public record or records, in any form, for sale, resale, solicitation, rent, or lease of a service, or any use by which the user expects a profit either through commission, salary, or fee.” However, “commercial purpose” does not include the publication or related use of the public record by a newspaper or periodical, by a radio or television station in its news or informational program, or by use in the prosecution or defense of litigation by the parties to such an action or their attorney.

22. This request is (choose one):*

    1. NOT for a commercial purpose: or
    2. FOR a commercial purpose.
24. Statement regarding residency.

    1. An individual residing in the Commonwealth; or
    2. A domestic business entity with a location in the Commonwealth; or
    3. A foreign business entity registered with the Kentucky Secretary of State; or
    4. An individual that is employed and works at a location within the Commonwealth; or
    5. An individual or business entity that owns real property within the Commonwealth; or
    6. An individual or business entity that has been authorized to act on behalf of an individual or business entity listed above; or
    7. A news-gathering organization as defined in KRS 189.635(8)(b)1a. to e.
26. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature

30. Pursuant  to  KRS  61.876(4),  the  Office  of  Attorney  General  has  promulgated  by administrative regulation this form. See 40 KAR 1:040.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field