Your contact details

Contact details of the administrative authority requested
At ... (place), on ... (date),

Subject: Communication of administrative document

Madam (or Sir ) the (Prefect, Mayor, President...),

As allowed by law n°78-753 of July 17, 1978 on the communication of administrative documents, I have the honor of requesting the communication of the following document(s ): (indicate very precisely the documents requested).

Please allow me to consult them on site on ... at ... (date and time requested) or to inform me of the opening hours of your services for the consultation of the documents

or*.

Please send me a copy (in paper format, on diskette, on CD-ROM, on DVDROM, or on USB key**)

Or* I would like

Please send them to me in digital format by e-mail at the following address

Thank you for your attention to my request. Please accept, Madam, Sir, the expression of my sincere greetings.

Signature

* ^Themethod of communication is at the applicant's discretion, within the limits of the technical capabilities of the administrative services (reproduction equipment and conservation of the documents requested)
^**Thecost of postage and reproductions will be invoiced to the applicant (including media)