Opens Records Request

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*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
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*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.