Form Center

2. Today's Date *
   Today's Date
4. First Name*
5. Last Name*
7. Company (if applicable)
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
17. Email Address*
19. In order for the Town of Zionsville to effectively process your request, your request must identify with reasonable particularity the record(s) being requested. Please specifically describe the record(s) you are seeking and include all applicable known information including sender, recipient, date range (six months or less) and a set of key words.
21. Please note that the Indiana Access to Public Records Act does not pertain to general questions. As such, please do not use this form to submit questions. Please direct questions to the appropriate Town official or Town employee or to askthemac@zionsville-in.gov.
23. Pursuant to Indiana’s Access to Public Records Act (APRA) IC 5-14-3, et. seq., I hereby request the following public record(s) of the Town of Zionsville, Indiana:*
25. Attach additional pages if needed.
29. Questions?

    Contact Amy Lacy, Municipal Relations Coordinator, 317-733-2277, alacy@zionsville-in.gov

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field