Sample California Public Records Act (CPRA) request form

Below we provide a template form you can use to request records under the California Public Records Act (CPRA). If you have any questions about using the form, feel free give us a call or e-mail us at [email protected].



[Agency Name]

Public Records Department


                                    Re:      Public Records Act Request

To Whom It May Concern:

Pursuant to the California Public Records Act (“CPRA”) (Gov. Code, § 6250 et seq.) I hereby request all records in the possession of [Agency Name] (the “Agency”) for the category of records listed below.  This request for records includes all “writings” as defined in Government Code section 6252, inclusive of any text messages, hand written notes, and personal e-mails concerning public business.  Unless a specific date range is provided below, please provide all records in the possession of Agency responsive to each request. 



    1. All records regarding, related to, or that reference [fill] from [date range] to [date range]. 

    1. [Fill]

    1. [Fill]

In accordance with Government Code section 6253, subdivision (c), please provide a response within ten (10) days of receiving this request. 

I have attempted to be as specific as possible in designating the public records I wish to obtain.  If you find that the requests are unclear or insufficiently focused, I request that you provide me with the assistance required under Government Code section 6253.1 to clarify the request.   

Please provide electronic copies of all responsive records to [Fill Name] at [Fill e-mail address]. 

Thank you for your assistance with this matter.


[Fill Name]

Get a Free Case Evaluation

If you have any questions about coverage or a claim, give us a call at 818-350-2349 or request a call back to speak to one of our attorneys today.