GRAMA Records Request Form | Wasatch Front Waste & Recycling District

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GRAMA – Records Request Form

Please complete all required fields. * Indicates a required field.

👤 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.)

✍️ Signature

Please type your full name as your signature to certify that the information provided is true and accurate.