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<br />CITY OF LA PORTE <br /> <br />TEXAS PUBLIC INFORMATION LAW <br />OPEN RECORDS ACT <br /> <br />Under the Texas Public Information Act, the Open Records Act states that anyone may request <br />information regarding municipal employees and Elected/Appointed Officials (i.e. name, addre8.\ <br />and telephone number). You have the right to request the exclusion of certain information <br />contained within your personnel files from public access. <br /> <br />You also have a right to change your mind in the future by contacting the Human Resources <br />Department (Elected and Appointed Officials need to return this form to the City Secretary's Office) <br />of the City of La Porte. <br /> <br />Note: All request for disclosure of public information are subject to reviiEW of the City Attorney, <br />who shall initially determine which information is subject to privacy exclusions pursuant to the <br />Texas Public Information Act. <br /> <br />Do you want to request that certain information within your personnel file be excluded from public <br />access? <br /> <br />[ ] YES <br /> <br />: :.~" <br /> <br />[ ]NO <br /> <br />Print Name <br /> <br />Employee Signature <br />