Request for Public Records

Date of Request *

Date of Incident *

Time of Incidient *

First Name *

Last Name *

Street Address Line 1 *

Street Address Line 2 *

City *

State *

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip *

Phone *

Name of Person Involved *

Description of Person Involved *

Description of Incident *

Specific type of Record (video?) * Under the Missouri Sunshine Law, Chapter 610, Revised Statutes of Missouri, I request that the Kansas City Area Transportation Authority make the following records available to me: Please provide the information relating to the records specifically requesting.

Bus Number *

Route Number *

Location of Bus *

Direction of Bus *

Description of Operator *

Description of Event *

Was the incident reported? *

Yes

No

Did a supervisor respond? *

Yes

No

Were there any calls made to KCATA regarding the incident? *

Yes

No

If yes, what date and what phone number was called from? *

I request copies of the records, and therefore, am willing to pay for the copies. Let me know in advance of any search or copying fees. * Pursuant to Section 610.026 RSMo, the KCATA is entitled to charge a reasonable fee for the time necessary to search and copy this record. KCATA has determined that will be $25 per hour and is payable to KCATA, 1200 E 18th Street, Kansas City, MO 64108. Once this form is received, staff will advise on the amount of time necessary and the associated fee necessary to fulfill the request.

My maximum fee to pay limit is *