PUBLIC
RECORDS REQUEST
Application
for Public Records
Pursuant to
A.R.S. §39-121.03, the applicant certifies that said documents:
(check one)
____ Will not
be used for a commercial purpose.
A
commercial purpose is defined by A.R.S. §39-121.03 as “the use of public
record for the purpose of the sale or resale or for the purpose of producing a
document containing all or part of the copy, printout, or photograph for sale,
or obtaining of names and addresses from such public records for the purpose of
solicitation, or for any purpose in which the purchaser can reasonably
anticipate the receipt of monetary gain from the direct or indirect use of such
public record.”
NOTICE: A
person who obtains a public record for a commercial purpose without indicating
the commercial purpose or who obtains a public record for a noncommercial
purpose and uses or knowingly allows the use of such public record for a
commercial purpose or who obtains a public record for a commercial purpose and
uses or knowingly allows the use of such public record for a different
commercial purpose or who obtains a public record from anyone other than the
custodian of such records and uses it for a commercial purpose shall in
addition to other penalties be liable to the state or the political
subdivision from which the public record was obtained for damages in the
amount of three times the amount which would have been charged for the public
record had the commercial purpose been stated plus costs and reasonable
attorney fees or shall be liable to the state or the political subdivision for
the amount of three times the actual damages if it can be shown that the
public record would not have been provided had the commercial purpose of
actual use been stated at the time of obtaining the records.
A.R.S. § 39-121.03(C).
Applicant’s
signature
Address
Phone Number
Request Date: