9230.1 Request for Records/Information


Grand Island Public Schools

9230.1 Request for Records/Information

Name: ____________________

Date: ____________________

Address: ____________________

What information or record(s) are you requesting? (Please be specific.)

 

 

 

Signature of Individual Making Request ____________________

 

Office Use Only

Date request received: ____________________

Request approved ____________________

Date request completed: ____________________

Request denied ____________________

Reason for denial (as per Neb. Rev. Stat. 84-712.04): ____________________

 

 

Superintendent or Designee ____________________

Date ____________________

 

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