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2. Request a GRAMA Report
   
4. Nephi City ordinance allows for up to ten (10) business days to provide the requested
   record, a denial or a notice of extended time for response to records request.
6. Name of the Person Making the Request:*
8. Date of Birth:*
10. Address:*
12. Phone Number:*
14. Case Number (If Available)
16. Description of records sought *

    Describe with reasonable specificity such as the type of report wanted, address of occurrence, names of people involved, case number if you have it, etc.

18. Please select (ALL) of the reasons that you are requesting a GRAMA Report.*

    1. Copy needed for insurance purposes.
    2. I would like to inspect the records.
    3. I would like to receive copies of the records. I understand that I will be responsible for copy costs, and I am willing to pay the costs. Payment REQUIRED at time of GRAMA request is submitted.
20. IF record is "Non-Public", check one of the following and attach necessary documentation.*

    1. I am the subject of the request.
    2. I am the person who provided the information.
    3. I am the legal guardian of subject of the record.
    4. I am authorized to have access by the subject of the record or by the person who submitted the information. (Attach a Power of Attorney below if selected.)
    5. Other. Please explain below.
22. If you selected "I am authorized to have access by the subject of the record or by the person who submitted the information. Please attach the Power of Attorney below.
23. If you selected "Other" under the Non-Public section please explain in the space below.
25. I am requesting an expedited response. (Please attach information that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication, or please attach other information that demonstrates that release of this information will benefit the public rather than the person. )
27. COST OF SUBMISSION

    By submitting this form the following cost will be charged:

    $10.00 per report*. 
      *If the report takes longer than 15 minutes to process, $25.00 per hour will be charged after the first 15 minutes.

    ADDITIONAL COSTS (per request):
      Photos: $25.00 per disc
       Redacted bodycam/videos: $30.00. An additional $30.00 will be charged per hour AFTER the initial hour to prepare.

    
    

    
    

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field