# Freedom of Information Act Request form > *Focused structural extract of the City's official Revize FOIA form. The complete HTML and form schema are preserved alongside this file.* ## Source metadata - **Publisher:** City of Texarkana, Arkansas - **URL:** https://texarkanaar.rja.revize.com/forms/12111 - **Archived:** 2026-07-21, by direct unauthenticated download - **Wayback snapshot:** https://web.archive.org/web/20260722002736/https://texarkanaar.rja.revize.com/forms/12111 ## Extract The form is titled **Freedom of Information Act Request**. Its embedded schema contains these fields: - First Name - required - Last Name - required - Date - optional, with `MM/DD/YYYY` help text - Email - required - Phone - required - Street Address - required - City - required - State - required - Zip Code - required - Request - one required textarea with the help text `Please be specific` The preserved schema exposes no department selector, upload field, subject field, delivery-method field, or advertised character limit. The page uses Google reCAPTCHA and a submission button. ## Notes - Tier 2 - official municipal filing interface. - The City Clerk page links to this form as the City's FOIA Request Form.