SIMAR : Public Records : Request Form


	SIMAR : Public Records : Request Form

480-484-6197

SIMAR Department

We had many requests to add an e-mail receipt feature to the form below. This feature is now up-and-running, so when you submit this request form, you should receive an e-mail in your inbox confirming that your request was received. It has come to our attention that during the time period in which we were adding and testing this new feature (February 20-28), some requests were lost by the e-mail server. If you did not receive a confirmation e-mail back after submitting a request on this page, please re-submit the request or call us at 480-484-6100. Thank you.

Date of Request :

Date Information
is Needed By:

Contact Information:

Name
Address	(Street Address)
	(City, State Zip)
Home Phone
Work Phone
Fax
e-mail

Nature of Request :

Opportunity to review records (no original record may leave the custodian’s office).
Copies of records.

Notice: A fee will be charged for copying based upon actual cost for providing the information.

Records Requested:

(Please be as detailed as possible about the records you are requesting as this will help us to better meet your needs.)

Purpose

(Please be as specific as possible about what these records will be used for.)

Type of Data Required?

You can enter things like Student-related, Test-related (or test score-related), Enrollment-related, or something else.

For What School Year?

Use the end year of the school year. For example, if you need records for the 2006-2007 school year, enter "2007."
You can enter things like 2006, 2007, 2008, 2009 or a combination of years.

Enrollment Data Date:

If you are requesting enrollment data, please enter the applicable date.
You can enter things like 1st day, 40th day, 100th day, or End-of-school-year.

Grade Level:

The requested data is for this grade level(s).
You can enter things like Elementary, Middle, High, or District-level.

Sort:

Please specify how you need the data broken down.
You can enter things like Grade level, School name, District, or [another method].

By submitting this form by clicking the button below, you are agreeing to the following statement:

I have requested public records of the school district for a noncommercial purpose. I understand that if the records should be used for a commercial purpose, a verified statement of the purpose must be submitted per A.R.S. 39-121.03.

It is a violation of the law to obtain a public record for a purpose other than the purpose stated, including distributing such information to other parties. Such violation is subject to penalties, including costs and attorneys fees.