131-276-140  <<  131-276-990 >>   End of Chapter

Appendix A—Request for public record to state board for community and technical colleges.

APPENDIX "A"
REQUEST FOR PUBLIC RECORD TO
STATE BOARD FOR COMMUNITY AND TECHNICAL COLLEGES
(a)
. . . . 
. . . . 
 
Signature
Signature (Please Print)
 
. . . . 
 
 
 
Name of Organization, if Applicable
 
 
 
. . . . 
. . . . 
 
Mailing Address of Applicant
Phone Number
(b)
. . . . 
. . . . 
 
Date Request Made at State Board for Community and Technical Colleges
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 State Board for Community and Technical Colleges Index . . . .
 
. . . . 
 
. . . . 
 
. . . . 
 
. . . . 
Request: Approved
. . . . 
By . . . .
 
 
Date
Public Records Officer
Denied Date . . . .
 
Reasons for Denial: . . . .
. . . . 
. . . . 
Referred to . . . .
Date . . . .
 
 
 
By . . . .
 
 
 
Public Records Officer
[Statutory Authority: Chapter 28.50 [28B.50] RCW. WSR 98-23-052, § 131-276-990, filed 11/13/98, effective 12/14/98; Order 18, Appendix A (codified as WAC 131-276-990), filed 7/2/73.]
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