Big River Community Services District

Public Records Request Form

Address: 150351 Del Rey Dr. PO Box 2376, Big River, CA 92242
Phone: (760) 665-8454 Email: bigrivercsd@outlook.com

Instructions

This form allows members of the public to request access to existing public records in accordance with the California Public Records Act (Government Code §6250 et seq.).
Please complete all relevant fields below. Requests may be submitted:

• By email to: bigrivercsd@outlook.com
• By mail to: Big River Community Services District, PO Box 2376, Big River, CA 92242
• Or in person at: 150351 Del Rey Dr., Big River, CA 92242

The District will respond within 10 days of receiving your request.

Requester Information

Name: ___________________________________________
Organization (if applicable): ________________________
Mailing Address: __________________________________
City, State, ZIP: ___________________________________
Phone: ___________________
Email: ___________________

Record(s) Requested

Please describe the record(s) you are requesting in enough detail to help us locate them quickly:

Date range of records (if applicable): ___________________________

Preferred format: ☐ Electronic (by email) ☐ Printed copies ☐ Inspection only

Fees

Reasonable duplication or mailing fees may apply. You will be notified in advance of any costs.

Signature

Signature: _____________________________________ Date: _______________