Public Records Request

PEASE NOTE: If you are seeking information regarding septic, land development, waste, or food licensing topics, please go back a page and fill out the correct records request.

Public Information Request Form

REQUESTOR INFORMATION

First Name

Last Name

Phone

Address Line 1

Address Line 2

City

State

Zip Code

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PUBLIC RECORD INFORMATION

Please list the documents you wish to review, including the subject matter, specific records sought, and timeframe of records.

If copies are requested: All copies made are subject to a copying cost of $ 0.05 per page after the first 100 pages, which may be required prior to receipt of record(s). If the request requires more than 2 hours of labor to produce and review records, the request will incur an additional fee at the average hourly rate of the employees producing the records.

By checking this box, I agree and understand that Idaho State Code exempts certain documents from public disclosure. If the public records you are seeking to examine or copy are exempt from disclosure, you will be notified. No list of persons prepared by an agency can be used as a mailing or telephone number list except by the agency or another agency. In most circumstances, your request will be granted or denied within three (3) working days of the date of its receipt. If more time is necessary, Eastern Idaho Public Health will notify you in writing. If Eastern Idaho Public Health fails to respond within ten (10) days, your request has been denied.

Public Records Custodian: Brenna Christofferson bchristofferson@eiph.idaho.gov (listed as required by Idaho Code 74-119)