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Public Records Request Form

  1. Please be as detailed as possible: include names, dates, subjects, meeting dates, resolution and ordinance numbers, project names, etc.

  2. Type of records:*

    Is this a request for:

  3. Photocopies:*

    If you are requesting photocopies of public records, please complete the following:

  4. How many copies of the records do you want?

  5. Acknowledgement:*

    The City will provide up to $100.00 of City staff time for supervision or gathering records free of charge with respect to each Public Records request. If the City estimates that the cost of responding to a request will exceed $100.00, the person requesting records will be provided with an estimate of total costs, and the person must agree to pay the total costs above $100.00 associated with responding to the request (whether less than, more than, or the same as the estimate) before records will be gathered or copies will be made. If the City estimates that the cost of responding to a request will exceed $150.00, the person requesting records must pay the estimated costs above $100.00 before records will be gathered or copies will be made. If actual costs are less than the estimate, any overpayment will be refunded; if actual costs are more than the estimate, the additional amount must be paid before the records or copies will be released. I certify that I understand I will be charged for the City’s costs related to the examination/copying of public records, and the records will not be released to me without payment.

  6. Submit to:*

    Requests for Police Information go to University Heights Police Chief. All other information requests go to City Clerk. All requests should be returned to either of the above custodians of records by email or at the following address: University Heights City Office 1302 Melrose Ave. University Heights, IA 52246

  7. Leave This Blank:

  8. This field is not part of the form submission.