Request for Public Information

	Name*

	Company

	Address Including City, State, and Zip*

	Phone*

	Email*

	Fax

	Pursuant to the Texas Public Information Act, Tex Gov't Code Ann.§552.001 et.seq., I am requesting access to, and inspection of, the following records maintained by or for the Houston Independent School District.

	(PLEASE BE AS SPECIFIC AS POSSIBLE)*

By typing my signature, I understand that the charges for providing this information may include, but are not limited to, costs for copies, labor, overhead, and/or materials. I understand if the estimated charges will exceed $40.00, I will receive an itemized statement of estimated charges before any work is undertaken. I also understand postage charges will be added if my documents or materials are mailed.

	Signature*

	Date*
	mm/dd/yyyy