Burkburnett, TX · Wichita County

No notary required

Public Information Act Request

Burkburnett residents and other requestors use this form to request city information and choose how to receive or inspect responsive records.

What this form is

Use this form to request information from the City of Burkburnett and describe the records as specifically as possible, including names, addresses, case numbers, and dates. It asks for requestor contact details, choices about redactions and information related to an active case, and how to receive or inspect records. A separate addendum requests body camera recordings and provides information about applicable video fees.

Who needs it

Anyone requesting city information or body camera recordings from Burkburnett can use the form to identify the records and indicate how they want to receive them.

How to submit it

Send it to the Office of City Clerk, Nikki Tepfer, at 501 Sheppard Road, Burkburnett, TX 76354, or email [email protected]. The form lists body camera video fees of $10 per recording and $1 per full minute.

About notarization

This request is signed without a notary; the form identifies no notarized or sworn attachment, so the requester simply signs and dates it.

How to submit this form

  1. 1

    Download The Request

    Download the Public Information Act Request PDF.

  2. 2

    Complete The Form

    Provide your contact information, describe the records requested, and indicate your redaction and delivery preferences.

  3. 3

    Add Body Camera Details

    If requesting body camera recordings, complete the addendum with incident details and your preferred delivery method.

  4. 4

    Submit To The City

    Send the completed request to the Office of City Clerk by mail or email using the contact details on the form.

Frequently asked questions

Do I need a notary for the Public Information Act Request?
No. The request is signed without a notary, and the form identifies no notarized or sworn attachment; the requester simply signs and dates it.
How do I submit the Public Information Act Request?
Send it to the Office of City Clerk at 501 Sheppard Road, Burkburnett, TX 76354, or email [email protected].
Can I use this form to request body camera video?
Yes. The second page includes a body camera addendum asking for incident details and how you want the video delivered.
What fees does the form list for body camera video?
The form lists a fee of $10 per recording and $1 per full minute of recording. It says videos are released upon payment.

Need something notarized?

This Public Information Act Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.