Public Records Request Form

NOTE: This is not a student records request form. For assistance with student records or course information please call (661) 763-7756

To facilitate processing your Public Records Act request, fill out all the information listed below and click ‘Submit’ this request will be sent to the Office of the Superintendent/President located in the Student Services/Administration Building, 2nd floor.

If you have questions regarding this form, contact Susan Groveman, Executive Director of Marketing and Community Relations at 661-763-7942.

"*" indicates required fields

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Please include your email address.

Phone

Record Requested*

Please provide as much detailed information as possible regarding the records you seek.

Comments

If you have any other comments pertaining to this request please include them here.

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Phone

This field is for validation purposes and should be left unchanged.