DMACC Request for Public Records (FOIA)

* = required field

Some content may be updated based on selection

Request for Public Records

First Name:

Last Name:

Mailing Address:

City:

State:

Zip:

Billing Address:
(if different from mailing address)

Email:

Preferred Phone:
(###)###-####

Request Type:

If other, what type of record are you seeking?

Other:

How will this information be used?

Who will have access to the information?

Describe how your procedures for data confidentiality are FERPA compliant?

How long will the information will be retained in your records?

What methods will be used to purge the data?

Time Period to be Searched:

Start Date:
MM/DD/YYYY

End Date:
MM/DD/YYYY

Time Frame:

Campus:

How do you want to receive this information?
(Ex. email, uploaded to URL, mail)

Some requests require a fee, how do you intend to pay?

Type of Medium you want to be searched:
(Ex. email, letters, personnel records, board minutes)

Additional Information:

Please wait for files to finish uploading