Caltrans Public Records Request Form

Bold fields are required.

Requested By

Name
E-mail
Telephone
Address
City
State
Zip Code

Description of Material Requested

(Please be as specific as possible. General descriptions and broad requests such as "all documents relating to Interstate 5" will cause uncertainty and delay the processing of your request. Please indicate dates and location of material if known). Description

Is this information being requested for pending or anticipated litigation in which Caltrans may be a party? Yes No

Is this request for media purposes? Yes No

Have you, or has anyone on your behalf, requested this information from anyone else within the Department? Yes No

If so, who and when

RETENTION OF DISCLOSURE
The Department retains this form for at least seven (7) years after disclosure for which the accounting is made, or until the record is destroyed, whichever is shorter.

DEFINITIONS AS USED ON THIS FORM
Disclose - means to disclose, release, transfer, disseminate, or otherwise communicate all or any part of any
record orally, in writing, or by electronic or any other means to any person or entity.

Public Records - includes any writing containing information relating to the conduct of the public's business
prepared, owned, used or retained by any state or local agency regardless of physical form or characteristics.

Personal Information - means any information that is maintained by an agency that identifies or describes an
individual.
NOTE: There are exemptions to disclosures in Public & Personal Records. If you are not sure, check with Legal.

COPY COST AND COLLECTION
The requester should pay the appropriate fee, if any, to the Cashier's Unit. Records can be released upon
proof of receipt of payment. Prices are subject to change without notice.

The Cashiers Unit in Headquarters (counter) is located at 1820 Alhambra Blvd., 2nd floor. A cashier is also available in each of the twelve districts.

DESCRIPTION OF PUBLIC RECORDS	COST PER UNIT
PERSONAL RECORDS (Any Size Paper)	$0.25 Per Page
8.5" x 14" OR SMALLER, 20# COPIES	$0.25 Per Page
COLOR COPIES (Any Size Paper)	$0.59 Per Page
11" x 17" REDUCED DRAWINGS (C Size)	$0.25 Per Page
COMPUTER DISK	$1.00 Per Disk
AUDIO/VIDEO/PHOTO	Cost of outside vendor + $7.00 shipping
ENGINEERING (C-E SIZE)
20# BOND	$0.13 Square Foot
VELLUM	$0.20 Square Foot
BLUELINES	$0.13 Square Foot
MICROFILM
APERTURE CARDS COPIES	$0.63 Each Card
COPIES MADE FROM MICROFILM  Size: 11" x 17"	$2.50 Per Sheet
COPIES MADE FROM MICROFILM  Size: 24" x 36"	$7.50 Per Sheet
PUBLICATIONS & CONTRACTOR'S PAYROLL RECORDS	SPECIAL RATES - CHECK THE GUIDELINES