* 1. Name of person submitting request:

* 2. Business name, affiliation, or representation (if representing yourself, please enter "self" or "other" and explain):

* 3. Telephone number (including area code):

* 4. Fax number (including area code) (optional):

* 5. Email address:

* 6. Mailing address:

* 7. Description of public records requested for disclosure:

If you are unsure if you are eligible for a fee waiver, see Section 10(f) of the Idaho Statue on the Public Records Act.

* 8. I agree to reimburse the Community Planning Association of Southwest Idaho (COMPASS) according to the established fee schedule: