Document - Historical information/data - Commissioner Phone Number Consent Form -z g City st
utio
to include the fol
I am authori
public dist
ature
COMMISSIONER PHONE NUMBER
CONSENT FORM
Under the Data Practices Act, the names and addresses of individuals appointed to City advisory
commissions are considered public data; however, phone numbers are private data and cannot be
released to the public. Please complete this form indicating whether or not you would like a
phone number made available for public distribution.
I do not want my phone number distributed to the public.
Signature Print Name
ing hone number with my name and address for
ere.
///l7),71