PUBLIC'S RIGHT TO INFORMATION
Denial of Access To School District Records Form
Name of Requester: _____________________________________________________________.
Date of School Record Request: ___________________________________________________.
Name of Administrator Denying Record Request: _____________________________________.
Description of Records Requested (Actual written request for record may be attached):
Please be advised that the school district has determined that there is a legal basis for a denial of access or copies to all or a portion of the school record requested, and hereby provides the following information in regarding such denial:
A. Description of the contents of the records withheld:
B. Statement of the specific reasons for the denial (Correlate specific portions of the records to specific reasons; include citation of statute expressly providing that particular information or records shall not be made public):
NOTICE: Pursuant to Neb. Rev. Stat. § 84-712.03, you may have a right of judicial or administrative review of the denial of access to school district records set forth above, including a right to petition for a writ of mandamus, or petition the Attorney General to review the record to determine if it may be withheld from public inspection.
COLUMBUS PUBLIC SCHOOLS
Form Adopted: 9/11/00 Columbus, Nebraska