Arizona State Board of Technical Registration

Public Information

Public Information Request

PUBLIC RECORDS REPRODUCTION REQUEST FORM

STATE OF ARIZONA

INFORMATION AND INSTRUCTION SHEET

Requesting Party: Please read and note the following information and instructions.

Information being requested *

Please describe the information you are requesting from the Board. You will need to be as specific as possible. If you are requesting a list, please specify the information you are requesting, such as, address, phone number, email, registration number, etc.

Are you requesting a list? *

Yes

No

Purpose of Request *

Commercial

Non-Commercial

“Commercial Purpose” is broadly defined by the Act as “any purpose in which the purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of such public record.” A.R.S. §39-121.03(D). “Commercial Purpose” includes copies of records for sale or resale and copies of printouts of names and addresses for purposes of solicitation of business; and, solicitation of possible hirees. A REASONABLE FEE MAY BE CHARGED FOR COMMERCIAL REQUESTS.

Purpose of Request (specifics)

Please specify how the requested material will be used.

Full Name *

Address *

City, State, Zip *

Phone Number *

Email *

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