Public Records Request

2. Date of Public Records Request
   Date of Public Records Request
6. Requesters Information
8. First Name
9. Last Name
11. Address
13. City
14. State
15. Zip Code
17. Contact Information

    Since we may need to get in touch with you to confirm all or part of this form, a phone number or email address is required. Information will not be given to third parties and will only be used to respond to this inquiry and future correspondence.

19. Phone Number
20. Email Address*
24. Title of Requested Record
26. Please describe below the record(s) you are requesting. Any additional information will help us locate them as quickly as possible.
30. Delivery Method

    Select your preferred delivery method upon receipt of payment.

    The City of Ankeny will email records upon request.  If a different form of delivery is desired, please state so below.

    1. I Will Pick It up
    2. Mail It to Me
    3. Other Method
32. If "Other Method", please specify.
36. I certify that I may be charged for costs related to the inspection/copying of public records, and the records will not be released to me without payment.

    1. I read and agree to the above disclaimer

38. The legal deadline to complete a request is a maximum of 20 business days upon receipt of the request.

    For questions, please contact the City Clerk at 515-965-6405.

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field