Opens Records Request

Name*

First Last

Agency/Business

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Pursuant to the Public Information Act, Texas Government Code, Section 552, I herby request the following information currently existing in the records of Travis County Emergency Services District No. 6:

Building Fire
Vehicle Fire/Collision
Medical
Other

At (location)*

Please provide: Street number, street name, and if at intersection indicate both street names.

Run Number

Date*

Time*

:

Other Additional Information:

Select from the following options below:*

Phone*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

IMPORTANT

I understand that the information will be released only in accordance with the Public Information Act, which may require a determination as to confidentiality by the Texas Attorney General prior to release. I further understand that Travis County Emergency Services District No. 6 has ten (10) business days in which to request such determination.

Digital Name Signature (Typed)*

First Last

Date*

Comments

This field is for validation purposes and should be left unchanged.

Lake Travis Fire Rescue

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