Open Records Request All fields are required! The NEGRC is dedicated to complying with the Georgia Open Records Act (O.C.G.A. 50-18-70., et seq.). In order to provide a responsive and economical response to your request, please complete the form below. Date of Request: Requester's Contact Information: Full Name: Company or Organization: Mailing Address: City: State: Zip Code: E-mail Address: Phone Number: Name of NEGRC Division or Development Authority: —Please choose an option—AgingAdministration/FinanceWorkforce DevelopmentPlanning & Government ServicesUpper Oconee Basin Water AuthorityNortheast Georgia Regional Solid Waste Management AuthorityJoint Development Authority of Northeast Georgia Please Specify Copy Type: —Please choose an option—Inspect & CopyObtain Copies Please describe in specific detail the records you are requesting, specific key words, names, and/or date ranges will help in the document retrieval process: Terms and Conditions Pursuant to O.C.G.A. 50-18-70 et seq., I am formally requesting to inspect the specific public record(s) I have described above. The descriptions I am providing of the requested record(s) describe in specific detail the record(s) I am requesting, specific key words, and/or date ranges which will assist in the document retrieval process. I agree to pay any copying and/or administrative costs incurred in fulfilling my request to the extent permitted by Georgia law. I acknowledge that such costs may include copying charges of $.10 per page and administrative charges for search, retrieval, and other direct administrative costs. I recognize that administrative charges shall not exceed the prorated hourly salary of the lowest paid full-time employee who, at the reasonable discretion of the custodian of the records, has the necessary skill and training to perform the request. I acknowledge that the NEGRC is authorized and may charge me for records that I request, even if I do not pick them up [§50-18-71(c) (3)]. I acknowledge that if the estimated cost of producing records is over $500, the NEGRC will require prepayment before the search, retrieval, review, or production of the records [§50-18-71 (d)]. I acknowledge that if I have not paid costs to the NEGRC for prior Open Records Requests, I may be required to prepay for all new requests, regardless of amount, until the previous charges for the prior production of records have been paid or the dispute regarding prior payment has been resolved [§50-18-71 (d)]. By filing this application electronically through the use of an electronic signature, I hereby certify that the information provided above is true, accurate and complete to the best of my knowledge. I furthermore acknowledge and agree that the below electronic signature is my own signature and carries the same legal weight as a signed document. Signature: Date: I acknowledge the above terms and conditions.