Please consider providing the following information related to the specific pieces of information you are requesting access to:
1. Name of the relevant records you are requesting access to.
2. Type of records (e.g., electronic communication, billing, transactional).
3. File numbers, and any other information to help us locate the information.
NOTE: You are not required to provide these details under the law, but doing so would help us process your request.
Please consider providing the following information related to the specific pieces of information you are requesting access to:
1. Name of the relevant records you are requesting access to.
2. Type of records (e.g., electronic communication, billing, transactional).
3. File numbers, and any other information to help us locate the information.
NOTE: You are not required to provide these details under the law, but doing so would help us process your request.
In all cases, regarding the individual to whom the requested information relates please provide:
1. First name and last name
2. Current address
3. Proof of residence (such as a copy of a recent utility bill or identification card demonstrating residence in
California). [Please provide with this form.]
4. Contact details (preferably an email address)
NOTE: please do not submit contact details for minor if requesting on behalf of a minor (see below)
If requesting as an authorized agent, in addition to the information in A. above, please provide:
1. Proof of authorization to represent the individual to whom the requested information relates. [Please provide with this form]
2. Name and last name of the authorized agent
3. Contact details (preferably an email address)
If requesting as a parent or guardian on behalf of a child, in addition to the information in A. above, please provide:
1. Official document demonstrating proof of your relationship to the minor (e.g., a birth certificate). [Please provide with this form.]
2. Full name of the parent/guardian
3. Proof of residence (such as a copy of a recent utility bill or identification card demonstrating residence in
California). [Please provide with this form.]
4. Contact details of the parent/guardian (preferably an email address)
Please provide any other details you would like to share with us regarding you or your request: