Model Forms:

OIP has created model forms that may be used to request access to a government record or to reply to a requester. To view or print these forms, click on the titles below.

Forms for the Public (UIPA):

Forms for Government Agencies (UIPA):

  • Notice to Requester (rev 5/8/14) (MS Word) – fillable form
  • Notice to Requester (rev 5/8/14) (pdf)
  • Acknowledgment to Requester (rev 5/8/14) (MS Word) – fillable form
  • Acknowledgment to Requester (rev 5/8/14) (pdf) Note:  The acknowledgment form should be used only when an agency is unable to complete the Notice to Requester within the ten business day deadline, due to extenuating circumstances, and needs to extend the deadline by up to an additional ten business days.  A Notice to Requester must still be sent by the end of the extended response period.

Forms for Boards (Sunshine Law):

Other Forms (UIPA):

If you require an auxiliary aid or accommodation due to a disability, please contact (808) 586-1400 or email