# City of Pine Bluff Information Request Form > *Field-level extract of the official City form. The original HTML is preserved alongside this file.* ## Source metadata - **Publisher:** City of Pine Bluff - **URL:** https://www.cityofpinebluff-ar.gov/information-request-form - **Archived:** 2026-07-21, by direct unauthenticated download - **Wayback snapshot:** Save Page Now returned HTTP 520 on 2026-07-21; retry pending. ## Extract The official form asks the requester to complete all applicable blanks and says to print the form before submission. Live HTML inspection established these fields: - **Name** - required; - **Phone** - required; - **Email** and **Email Confirmation** - required; - **Address** - optional textarea; - **Date of Request** - required; - **Subject** - required, described as keywords or a document title; - **Document Type** - Ordinance, Resolution, or Other; - **Document Number(s)** - optional; - **Document Description** - textarea for title, content, and date details; - **Preferred Method of Return** - required choice of Email, Mail, or Pick Up; - reCAPTCHA and Submit controls. No upload control, department selector, account requirement, or advertised narrative character limit appears in the preserved form. The form posts to the same official page. ## Notes - Tier 2 - official City records-request form. - Use **Other** and make Pine Bluff Police Department explicit in the subject and description. - Joshua must enter private contact fields, complete the reCAPTCHA, preserve a copy, and submit. Codex does not submit public-records requests.