Date of Request Time of Request Name of Person Requesting Information PHONE: Fax: Organization: Subject PIR FORM FROM WEBSITE Inspect or Copy Inpsect I understand that the Public Records Act requires an initial response to my request, but not the actual production of records, within a statutorily specified time period. I understand that if I request copies of public records, those copies will be provided to me within a reasonable period of time after the initial response to my request. I further understand that if the request is denied, the Bartholomew County Sheriff's Office will respond in writing (email or letter) and state the statutory exception authorizing the withholding of all or part of the public record and the name and title or position of the person responsible for the denial. The Agency may provide me with its response to this request:: By Mail at: By Email (preferred) By facsimile transmission Other Charges may apply to cover costs of reproducing materials in other mediums. A fee will be charged for the certification of documents and for the facsimile transmission of documents. Also, you will be charged for postage in the mailing of the requested documents to you. To avoid postage charges, you may pick up documents in person or send a selfaddressed, stamped envelope. All charges must be paid to the Bartholomew Countys Sheriff's Office before the requested documents will be sent or given you. Email a copy of this message to your own address Please type the characters shown
