Department of
Environmental Quality

Request to Examine and/or Copy Public Records

All fields except fax are required

First Name:

Last Name:

Business Name, Affiliation or Representation:

Telephone 000.000.0000:

Fax 000.000.0000:

Email: Mailing Address:

Zip (00000):

City:

State:

Description of public records requested for disclosure:

IDAHO STATE LAW PROHIBITS USE OF DISCLOSED INFORMATION AS A MAILING LIST. Violations are subject to Civil Penalties of up to $1000 (I.C. 9-348).

Will requested record be used as a phone or mailing list?

Yes   No

Idaho State Code exempts certain documents from public disclosure. If the public records you are seeking to examine or copy are exempt from disclosure, you will be notified.

I agree to reimburse the Idaho Department of Environmental Quality according to the established fee schedule.

 

Processing...