2. Open Records Request
   The City of Benbrook fully supports the spirit of the Texas Public Information Act. To request copies of records, or to request the opportunity to view records belonging to any department of the City, complete this form and submit online. Please be specific when describing the records. For Police Department records, please provide all information known, such as case number, name of person, or persons involved, date of incident, location, offense, etc. We will gather the information review it and have a response for you within the time period prescribed by law.
4. Date of Request*
   Date of Request
6. Type of records request*

   1. Fire Report

   1. Municipal Court Record

   1. All other records
8. Description of Record:*
   Please be specific to assist in locating the record you are requesting. Provide all known information.
10. Optional Exhibit

    If you have a location map, image or other example please upload it in PDF, JPG or MS Office format. All other formats will not be viewed.

12. How would you like to receive the requested information?*

    1. Pick Up
    2. Mail

    1. Fax
    2. Email
14. Cost of copies: Charges for standard paper copies are $0.10 per page. If an estimate of costs to copy information is required, you will be notified of the estimated cost. Actual costs may be higher or lower than the cost estimate. Cost estimates that exceed $100 require a deposit before a request can be processed.
16. Signature
18. Printed Name*
20. Address*
22. City*
23. State*
24. Zip
26. Phone*
27. Email*
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field