2. Request to Inspect Public Records

4. Pursuant to the Kentucky Open Records Act (“the Act”), KRS 61.870 et seq., the undersigned requests to inspect the public records which are described below.

   1. A determination will be made within five (5) business days from the date an application is received.

   2. The City of Richmond charges 10 cents per released page. For electronic documents placed on a compact disc or USB flash drive, the cost is approximately $10.

6. First Name*
7. Last Name*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address

    (if applicable)

18. Records to be inspected*

20. Statement regarding the use of public records.

    KRS 61.870(4) defines “commercial purpose” as “the direct or indirect use of any part of a public record or records, in any form, for sale, resale, solicitation, rent, or lease of a service, or any use by which the user expects a profit either through commission, salary, or fee.” However, “commercial purpose” does not include the publication or related use of the public record by a newspaper or periodical, by a radio or television station in its news or informational program, or by use in the prosecution or defense of litigation by the parties to such an action or their attorney.

22. This request is (choose one):*

    1. NOT for a commercial purpose
    2. FOR a commercial purpose
24. Statement regarding residency*

    I further state that I am a resident of Kentucky because I am (please check one):

    1. An individual residing in the Commonwealth; or
    2. A domestic business entity with a location in the Commonwealth; or
    3. A foreign business entity registered with the Kentucky Secretary of State; or
    4. An individual that is employed and works at a location within the Commonwealth; or
    5. An individual or business entity that owns real property within the Commonwealth; or
    6. An individual or business entity that has been authorized to act on behalf of an individual or business entity listed above; or
    7. A news-gathering organization as defined in KRS 189.635(8)(b)1a. to e.

26. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

28. Check*

    1. I Agree.
30. Electronic Signature*

    (Enter Full Name)

32. Pursuant to KRS 61.876(4), the Office of Attorney General has promulgated by administrative regulation this form. See 40 KAR 1:040.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field