Wash. Admin. Code § 210-06-990

Current through Register Vol. 25-01, January 1, 2025

Section 210-06-990 - Appendix A - Form - Request for public records

APPENDIX A REQUEST FOR PUBLIC RECORDS
Name of Requestor:
Address:	Phone:
Date of Request:	Time of Request:
Nature of Request:
1. Index Reference . . . . . . . . . . ..
2. If not identifiable by reference to the index, then describe the document(s) in detail . . . . . . . . . . ..
. . . . . . . . . . ..
. . . . . . . . . . ..
. . . . . . . . . . ..
	Signature . . . . . . . . . . ..

For Office Use Only:

(1)

Request Granted []

Record Withheld []

Record Withheld In Part []

(2) If withheld, name the exemption contained in § 31, chapter 1, Laws of 1973, which authorizes the withholding of the record or part of record: Subsection (1) ( ).

(3) If withheld, briefly explain how the exemption applies to the record withheld.

(4) If request granted, time . . . . . ., day . . . . ..

Wash. Admin. Code § 210-06-990

Order XII, Form (codified as WAC 210-06-990), filed 11/28/73.