Mount Airy, MD

PUBLIC INFORMATION REQUEST FORM

Name
Email Address
Company
Phone Number
Cell Phone Number
Address
City
State
Zip Code
Information Requested
Date Information is Needed
Date Information is Needed
Once this form is received and the estimated staff time and number of documents (if necessary) to comply with this request is calculated, you will receive a letter from the Town Clerk explaining what the maximum cost will be of the requested information. After the Town Clerk receives a signed acceptance of this cost from you, the Town Clerk will then proceed to reply to the public information request or deny the request under the Public Information Act. Annotated Code of Maryland Sections. 10-611 – 10-630. For your information, the Town’s regulations “Access to Public Records” is found in the Mount Airy Town Code, which is on the Mount Airy website, under sections 1-19 – 1-24.
Once this form is received and the estimated staff time and number of documents (if necessary) to comply with this request is calculated, you will receive a letter from the Town Clerk explaining what the maximum cost will be of the requested information. After the Town Clerk receives a signed acceptance of this cost from you, the Town Clerk will then proceed to reply to the public information request or deny the request under the Public Information Act. Annotated Code of Maryland Sections. 10-611 – 10-630. For your information, the Town’s regulations “Access to Public Records” is found in the Mount Airy Town Code, which is on the Mount Airy website, under sections 1-19 – 1-24.
P. O. Box, Mount Airy, MD 21771
Telephone: (301) 829-1424 * Fax: (301) 829-1259
Email: town@mountairymd.gov * Web Page: www.mountairymd.gov
Staff person in charge of request
Date Staff Contacted Requester with Follow Up
Date Staff Contacted Requester with Follow Up
Approximate Time Needed to Complete Request
Fee if Applicable
Fee Received (if applicable)
1. Yes
2. No
Date Request was Completed
Date Request was Completed