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Requester Information

City Recorder's Office
Request for Records
220 East Morris Ave. South Salt Lake, UT 84115
Phone: (801) 483-6019
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip Code:*
Phone Number:*
Work Number:
Email Address:*
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Describe the records you are seeking (records must be described with reasonable specificity, such as date of occurrence, events, or persons involved):*
Case Number (if known):
Describe your purpose for records sought (reason must be described with reasonable specificity):*
In what format would you like to have access to the requested record(s)?*
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All GRAMA Records Requests may be subject to research/copy fees. Please see the following link for the current fee schedule:
South Salt Lake Code of Ordinances - Consolidated Fee Schedule - 3.11.020 - General fees - Records and Information Services
Are you requesting a fee waiver?
Reason for fee waiver request:
1. Release of the records primarily benefits the public rather than me (explain in field to the right).
2. I am the victim of a domestic assault on the record.
3. My legal rights are directly affected by the record and I am impecunious.
Please explain public benefit if indicated:
Please attach any supporting information for your fee waiver request:
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Are the requested records currently in a public status or non-public status?
Reasons for access to non-public records:
1. I am the subject of the record (or guardian/parent of the subject if the subject is a minor or legally incapacitated).
2. I am the person who provided the information.
3. I am authorized to have access by the subject of the record or by the person who submitted the information (attach relevant documentation below).
Other (please explain):
Please attach relevant documentation for indications above:
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Are you requesting an expedited response? (5 business days)
Please attach relevant documentation:
(i.e. proof of your status as a member of the media and statement that the record is needed for a story/broadcast)
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By entering my name in the signature field below, I acknowledge:
-That the information I am submitting on this form is correct and true to the best of my knowledge.
-My electronic signature is valid and binding as if it was my handwritten signature.
-I may still be required to provide a traditional signature at a later date.
Signature*
Please type your full name
Unless requesting an expedited response, it may take up to 10 business days to fulfill your request. You will be notified when the records are available to be picked up/accessed.
Any further questions regarding this request can be directed to:
South Salt Lake City Recorder's Office
220 East Morris Ave, South Salt Lake, UT 84115
Phone: (801) 483-6019
Additional information about SSL's Personal Data Request Notice
https://sslc.gov/DocumentCenter/View/2264/Personal-Data-Request-Notice---Citywide

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