District 4 Public Records Request Online Form

For requests pertaining to Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma counties.

For all other California counties, click HERE.

Instructions:
1. This form is used only for those requests for public records which are made pursuant to the California Public Records Act (Government Code sec. 6250 et seq.). Requests for personal information concerning employees, agents, or customers of the Department are subject to the Information Practices Act (Civil Code sec. 1798 et seq.) and should be submitted on Form ADM-0028 (Record Disclosure Request).

2. Use of this form by public individuals is voluntary. Public Records Act Requests may be submitted in person, by letter, email, fax, or telephone. If such an alternate method has been used, this form should be completed by the person responding to the request and the original request must be attached.

3. Copies of records may be provided to the requester after reproduction costs have been paid. There is a duplication charge of $0.25 per page (additional charges may apply for over-sized documents or color reproduction). The Department reserves the right to waive costs at its discretion.

Name:

Business Name (If Applicable):

Address:

City:

State:

Zip:

Your email:

Daytime Telephone:

Description (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 documents if known.)

Please answer the questions below before submitting this form:

1. Is this information being requested for pending or anticipated litigation in which Caltrans may be a party?

2. Is this request for media purposes?

If yes, what media affiliation? (or None)

3. Have you, or anyone on your behalf, requested this information from anyone else within the Department?

If yes, to who and when? (or None)