Burkburnett, TX · Wichita County

No notary required

Public Information Request Form

Burkburnett residents and other requesters use this form to ask the City Clerk for public records, including optional body-worn camera recordings.

What this form is

Use this form to request public information from the City of Burkburnett, including body-worn camera recordings through the included addendum. It asks for your contact details, a description of the information, redaction preferences, and how you want to receive or inspect records. The form notes that records may incur charges and that body-camera video has a stated fee.

Who needs it

Anyone seeking city records from Burkburnett can use this form, including people requesting body-worn camera recordings.

How to submit it

Send the completed request to the Office of the City Clerk, Nikki Tepfer, at 501 Sheppard Road, Burkburnett, TX 76354. The form also lists [email protected] and fax 940.569.4192.

About notarization

This form is signed without a notary; the requester signs and dates the request, and signs the body-camera addendum if applicable.

How to submit this form

  1. 1

    Download The Form

    Download the Public Information Request Form and review the body-camera addendum if requesting recordings.

  2. 2

    Complete The Request

    Provide your contact information, describe the records as specifically as possible, and select your redaction and delivery preferences.

  3. 3

    Gather Any Attachments

    Attach additional sheets if needed to describe the requested information; complete the body-camera details if requesting recordings.

  4. 4

    Submit To The City

    Send the completed form to the Office of the City Clerk using the address, email, or fax listed on the form.

Frequently asked questions

What information does the Burkburnett request form ask for?
It asks for requester contact details, a description of the records sought, redaction preferences, and how to receive or inspect the information.
Do I need a notary for this public information request?
No. The form is signed without a notary; the requester signs and dates the request and signs the body-camera addendum if applicable.
How do I submit the Burkburnett public information request?
Send it to the Office of the City Clerk at the address on the form, or use the listed email address or fax number.
Does the form mention charges for requested records?
Yes. It says records may incur charges, with payment due before obtaining documents. The body-camera addendum states a fee per recording and per full minute.

Need something notarized?

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