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Public Records Request Form

  1. Public Records Request
    The Benbrook Water Authority is pleased to comply with your request for information. We do, however, require you to provide the following information as it applies to you and ask that you be very specific in your request.
  2. Preferred format:*
  3. Preferred Delivery*
  4. Costs*
    I understand that there is a charge of $.10 per page for standard paper copies and $.50 per page for non-standard paper copies, plus any applicable charges for providing information as outlined in Title 1, Part 3, Chapter 70, of the Texas Administrative Code. If the estimated charges are more than $40 BWA will contact me prior to the completion of my request.
  5. Electronic Signature*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  7. This field is not part of the form submission.