Wash. Admin. Code § 14-276-140

Current through Register Vol. 24-18, September 15, 2024
Section 14-276-140 - Adoption of form

The committee hereby adopts for use by all persons requesting inspection and/or copying or copies of its records the following form:

REQUEST FOR PUBLIC RECORD TO COMMITTEE ON ADVANCED TUITION PAYMENT

(a) . . . . . . . . . . ..

Name (please print)

Signature

. . . . . . . . . . ..

Name or Organization, if applicable

. . . . . . . . . . ..

Mailing Address

of Applicant

Phone Number

(b) . . . . . . . . . . ..

Date Request Made

Time of Day

Request Made

(c) Nature of Request . . . . . . . . . . ..

. . . . . . . . . . ..

. . . . . . . . . . ..

. . . . . . . . . . ..

(d) Identification Reference on Current Index (Please describe)

. . . . . . . . . . ..

. . . . . . . . . . ..

. . . . . . . . . . ..

(e) Description of Record, or Matter, Requested if not Identifiable by Reference to the Committee on Advanced Tuition Payment Index

. . . . . . . . . . ..

. . . . . . . . . . ..

. . . . . . . . . . ..

Request: APPROVED . . . . . . . . . . ..

DENIED . . . . . . . . . . ..

Date . . . . . . . . . . ..

By . . . . . . . . . . ..

Name

Title

Reasons for Denial: . . . . . . . . . . ..

. . . . . . . . . . ..

. . . . . . . . . . ..

Referred to . . . . . . . . . . ..

Date . . . . . . . . . . ..

By . . . . . . . . . . ..

Name

Title

Wash. Admin. Code § 14-276-140

Statutory Authority: RCW 28B.95.030(9)(e). 98-23-009, § 14-276-140, filed 11/5/98, effective 12/6/98.