GRAMA Records Request Form | Wasatch Front Waste & Recycling District

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Records Request

GRAMA – Records Request Form

Complete this form to request records from Wasatch Front Waste and Recycling District.

Describe the Records

Be as specific as possible. Include the type of records, subject, and year or dates requested.

Before You Submit

Review your contact information and request options. Type your full name and check the electronic-signature agreement to sign your request.

Please complete all required fields. * Indicates a required field. Do not include your Social Security Number on this form.

Contact Information

Name of contact person, if known

First

Last

Leave blank if same as the contact name, above.

Phone

Confirm Email

Address

City

State

ZIP Code

Description of Records Requested

GRAMA - Records Request

Description of records requested: (Be as specific as possible; type of records, subject, year or dates wanted, etc.)

Please note: state law does not require any agency to create any record to fulfill a request. GRAMA applies only to existing records. In some cases, you may need to provide a Social Security Number or other personal identifier to retrieve records. In the case of a request for medical records, the agency may require you to complete a HIPAA release. DO NOT include your Social Security Number on this form. The agency will provide a separate method for you to provide that number if it is needed.

Request Options

Check all that are applicable:

I would like to review/inspect the records.

I would like to receive copies of the records.

I understand that I will be responsible for copy costs. I authorize I understand that prepayment of copies over $50.00 may be required and that I will be contacted if estimated costs are greater than the above specified amount.

I request a waiver of costs under UCA 63G-2-203(4). Supporting documentation is attached.

If the requested records are not public, please indicate why you believe you are entitled to access:

I am the subject of the record. (Photo ID required)

I am the person who submitted the record (Photo ID required)

I am authorized to access the record by the subject of the record. (Consent for Release Form attached)

I am requesting an expedited response as permitted by UCA 63G-2-204(3)(b).

(Please attach information showing status as a member of the media and a statement that the records are required for a story for broadcast or publication, or other information demonstrating entitlement to an expedited response.)

Electronic Signature - Full Name

Type your own full name as the person submitting this request. Check the electronic-signature agreement below, then select Submit Request to sign and submit this records request electronically.