GRAMA Response 3/2/2022 12:50:51 PMThis online form is NOT to be used for Police Records requests. You can find the Police GRAMA form here.
Request for a RecordUtah Government Records Access and Management Act
Attn:
Park City Municipal Corporation
P.O. Box 1480
Park City, UT. 84060
*
Date *
Person Making Request *
Mailing Address *
Telephone Ext
Email *
I desire access to or copies of the following records:*
I understand that this request is not for Police Records
3/2/2022
Mark J Christensen
City
Saratoga Springs
State / Province / Region
UT
Postal / Zip Code
84045
Country
United States
Street Address
3888 S. Beacon Dr
Address Line 2
(801) 940-6135
markjchristensen@msn.com
Access
Copies
Describe with reasonable specificity *
Attach additional sheets (?)
This request is submitted under the authority of Section 63G-2-101 et seq., Utah Code, GRAMA.
If applicable, check one of the following and attach necessary documentation:
I agree to pay a reasonable fee to cover the actual cost of duplicating a record if copies are requested, not
to exceed (amount specified below), in conformance with the government entity’s policy as determined
by ordinance or written formal policy adopted by the governing body. I understand there is no charge for
inspecting a record. I further understand that the agency will contact me if estimated costs are greater than
the amount I have specified and that the agency will not respond to a request for copies if I have not
authorized adequate costs.
Fees will not exceed *
Assigned Departments
I was an employee of Park City Municipal Corporation from approximately June 1998 to May 2004.
I am requesting an electronic copy of my personnel file including any and all:
Executed employment agreements or contracts and addendums. (I was placed on an employment contract in
approximately fall 1998 until approximately fall of 2000.)
W-2’s, wages and benefits received.
Personnel action forms, performance evaluations, documentation of all hours worked and benefits received.
Please provide a copy of all benefit elections and applications for:
Utah Retirement System
Medical insurance – including coverage dates
Benefits selections, retirement programs, life insurance, and any other benefits offered by Park City to
employees at the time. (EAP, tuition reimbursement, etc…)
Please provide any and all information including: paid holidays, paid vacation, sick leave, and all other benefits
received during time of employment.
I am the subject of the record
I am the person who provided the information
I am authorized to have access by the subject of the record of by the person who submitted the information
I believe this request should be handled as an expedited (5 day) request under Section 63G-2-204(3), for the reasons
outlined in the attached explanation, expedited response to this request benefits the public rather than the person
making the request. (If applicable, attach a summary describing the reasons the public will benefit from early
response. Without this provision the request will be handled as soon as reasonably possible, but can take up to 10
business days.)
Other
100.00$
Human Resources