RESEARCH REQUEST FORM - CITY OF OAKLAND - OFFICE OF THE CITY CLERK …

RESEARCH REQUEST FORM - CITY OF OAKLAND - OFFICE OF THE CITY CLERK
(Official Date Stamp)                         (Official Date Stamp)                           (Official Date Stamp)




                Clerks Initials:                               Clerks Initials:                               Clerks Initials:
           Request Received                             Request Completed/                              Request Picked-up/
                                                         Notification Given                               Mailed/Faxed

      Walk-In                                      Immediate Request                                Picked-up

      Mail                                         1 Day Request                                    Mailed

      Phone / Fax                                  Within 3 days                                    Faxed

      Other _________________                      Greater than 3 days                              Other _________________


                                     To Be Completed by the Requester                                        Date:
Name of Requester:                                                                Phone: _____________________
                                                                                  Fax: _______________________
Agency/Company: ______________________________________________________________________________

Address:_______________________________________________________________________________________

Requested Documents/Information (Please be as specific as possible)

Resolution Number: _______________________ Ordinance Number: ____________________________________

Resolution/Ordinance/Report - Title/Key Words:______________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_________________________________________________________________ Meeting Date(s): _______________

Agenda Item: ___________________________________________________________________________________

_______________________________________________________________________________________________

Committee/Council Meeting(s):_______________________________________ Meeting Date(s): ______________



                                                      For Office Use Only
    Number of Copies: ___________ x price per page: ________ Time Spent on Research ___________
    Copy Charges                   $________________ (number of pages x price per page)
    Total for Items Sold           $________________ Description: __________________________________________

    Total Money Collected:                                  Cash / Check / Money Order               Cash Receipt #:__________
    Cashier's Initial:_____________________________________________________Date:___________________
    Received by Customer:_______________________________________________Date:___________________


      Please use a separate form for each request! Fax number 510-238-2228.