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City of Palmdale
Office of the City Clerk
38300 Sierra Hwy., Suite C
Palmdale, CA 93550
(661) 267-5151 . Fax (661) 267-5193
Step 1: COMPLETE- all blank spaces of the Public Records Request Form. This will facilitate and expedite the processing
of your public record(s) request. Please be specific and give as much information as possible to allow the City to locate the
Step 2: SUBMIT your completed form by e-mailing, mailing or faxing to the City Clerk at the address, e-mail or fax number
Step 3: PLEASE BE PATIENT – The City will make a determination within 10 days from receipt of your request whether
the request, in whole or in part, seeks copies of discloseable public record(s) in possession of the City [GC 6253(c)]. Please
note that if you are requesting to inspect the record(s), you will be asked to make an appointment to view the documents. If
you are requesting copies, an invoice will be sent to you.
Charges for the direct cost of duplication will apply. Please note – Record(s) will be copied upon receipt of payment. If
payment is not received within 10 days after invoicing, you may be required to submit a new request. Please see Page 2
for additional information regarding Public Records Request
Please be as specific as possible, for example, provide the date, time, and type of
record(s) being requested. If additional space is needed, please attach a separate page.
I understand that I will be contacted once record(s) have been identified. If duplication costs are involved, an estimated cost will be provided to me. I agree that I will be required to submit payment for duplication costs and postage prior to the production of the requested record(s).
Please note that information contained any Public Records Act request becomes a public record and may be subject to public inspection pursuant to the California Public Records Act.
ADDITIONAL INFORMATION REGARDING PUBLIC RECORD(S) REQUEST
1. In order to expedite your request, requests for record(s) should be in writing. A public Records Request
Form is available online at http://www.cityofpalmdale.org/Your-City-Hall/City-Clerk. The form can be
downloaded, and when completed you may submit your request via mail to: Office of the City Clerk,
38300 Sierra Hwy., Suite C, Palmdale, CA 93550; e-mailed to: firstname.lastname@example.org; or via
fax: (661) 267-5193
2. If your request is to inspect rather than receive copies, the responsive Department will contact you to
schedule an appointment for the inspection of such record(s). This is necessary to allow time to
compile and review documents for compliance within the provisions of the Public Records Act.
3. Requests (inspection and copies) must be for record(s) in the possession of, prepared, owned, used, or
retained by the City of Palmdale [GC §6252(e)] and must be for clearly identifiable record(s). City staff
is available to assist you in identifying record(s) that are in the Department/City’s possession. The City
is not required by law to create a record or list from an existing record. Copies will not be provided if
disclosure is exempt in accordance with State law.
4. The City will make every effort to respond to your request in a reasonable time. You will be notified
within ten (10) days from the date of your request:
Whether the City has record(s) responsive to your request and the page count to produce such
record(s) (if copies have been requested).
Whether the City has record(s) responsive to your request, but which are exempt from disclosure
and the reasons for exemption.
Whether the City requires an extension of time to determine whether it has record(s) responsive to
5. The charge for duplication is listed on the City’s Fee Schedule as adopted by the City Council. The
standard charge for copies is $0.25 per page for regular documents and $0.10 per page for Statements
of Economic Interests and Campaign Statements. Records copied to CD are $1.00 per CD. DVD’s are
$5.00 per DVD. Per California Government Code §81008, the City Clerk Department may charge a
retrieval fee of up to $5.00 per request for copies of campaign statements that are five or more years
old. A single request for more than one report or statement is subject to one retrieval fee. Special or
oversized documents may be charged at a higher rate. The City is not required to produce record(s) in
an electronic format when the requested record(s) are not available in electronic format at the time of
the request. If the record(s) are to be mailed, your invoice will include the approximate cost of postage.
Please Note – Some departments have differing copy charges which may appear on your invoice. The
City’s adopted Fee Schedule is available to view upon request, and is available on the City’s website at
6. The City will provide an invoice for anticipated charges due (duplication costs and, if mailed, postage
costs). These charges are due and payable upon receipt of the invoice. Upon remittance of payment,
the record(s) requested will be copied and made available. If arrangements for payment and
production are not made within ten (10) days of the date of the City’s response, a new request may
have to be submitted.
7. For further information, please refer to the California Public Records Act ( California Government Code
§6250 et seq.) or contact the Office of the City Clerk, 38300 Sierra Hwy., Suite C, Palmdale, CA 93550;
Phone: (661) 261-5151.
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