Public Records Officer [2]

City, County or Special District of Anytown

10 Government Street

Anytown, CA 9xxxx

Re: Public Records Act Request

Dear Public Records Officer:

This is a request pursuant to the California Public Records Act, Government Code Section 6250, et seq.

[Copies][Inspection] of the following documents are requested:

[List with as much specificity as possible the documents needed. They must be documents that

already exist. You cannot ask the government to create documents that do not already exist, or

to answer questions or perform calculations.]

Please let me know in advance if there is a charge for copying these documents. Pursuant to Govt. Code

6256, your written response within ten days will be appreciated. In addition, if the records requested

cannot be located or if you have difficulty understanding my request, I would appreciate assistance

identifying where such records do exist and whether other records exist concerning this same subject

matter.

Sincerely,

I.M. Curious

13 Citizen Drive

Anytown, CA 9xxxx