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2. The City of Pewaukee may charge for records requests.

   The City of Pewaukee charges the actual, necessary and direct costs for copies of records in accordance with Wis. Stat. §19.35 Access to records; fees.

    

   • Retrieval costs:  When the cost of locating a record or multiple records exceeds $50.00, the actual, necessary and direct cost of locating the record(s) will be charged (Wis. Stat. §19.35(3)).               
     • Requestors will not be charged for the cost of reviewing records for possible redaction or removal of confidential information.
     • The hourly rate charged is based upon the base salary and benefits of the lowest paid employee capable of locating the requested records.
   • Copying costs:  $.10 per page, plus sales tax, for the copying of customary and ordinary 8 ½” x 11” hard copy records.
     • No charge will occur for electronic copies of records that already exist in electronic format.
   • Mailing costs:  The actual, necessary and direct cost of mailing or shipping of copies of records shall be paid by the requestor. 
4. First Name*
5. Last Name*
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Email Address*
17. Home Phone Number*
18. Business Phone Number
19. Fax Number
21. Request Received:
    Request Received:

    Request Received:
22. Request Received:
    -- Select One --In PersonMailPhoneFax
24. Report Number (If Known):
26. Specific Records Requested / Reason:*
    Please let us know what records you are requesting.
30. Status:
    -- Select One --ApprovedDenied
31. Approved / Denied By:
32. Date:
    Date:
34. Reason for Denial:
36. Records Distributed:
    -- Select One --In PersonMailFax
37. Distribution Date:
    Distribution Date:
39. Number of Copies:
    25 cents each
40. Total Cost:
42. Request Received by:
43. Date:
    Date:
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field