Records Request Form

Village of Maple Bluff

Clerk/Treasurer’s Office

18 Oxford Place

Madison, WI 53704

Phone (608) 244-3048 Fax (608) 244-0179

Please note: Under state law a request for access to a public record “A request under pars. (a) to (f) is deemed sufficient if it reasonably describes the requested record or the information requested. However, a request for a record without a reasonable limitation as to subject matter or length of time represented by the record does not constitute a sufficient request. A request may be made orally, but a request must be in writing before an action to enforce the request is commenced under s. 19.37 “ (19.35(1)(h), WI SS)

Description of the public record(s) to be inspected and/or copy made:

Please note: A request for access to a public record may not be refused “Except as authorized under this paragraph, no request under pars. (a) and (b) to (f) may be refused because the person making the request is unwilling to be identified or to state the purpose of the request. Except as authorized under this paragraph, no request under pars. (a) to (f) may be refused because the request is received by mail, unless prepayment of a fee is required under sub. (3) (f). A requester may be required to show acceptable identification whenever the requested record is kept at a private residence or whenever security reasons or federal law or regulations so require.” (19.35(1)(i), WI SS) You are being asked to provide the information called for on voluntary bases. Thank you.

Date of Request:

Name of Requester:

Telephone Number of Requester:

E-Mail Address of Requester:

Address of Requester:

Purpose of Request:

*Denial of a written request must inform the requester that the denial is subject to review in an action for mandamus under Wis. Stat. 19.37(1), or by application to the local District Attorney or Attorney General