Search
389-12-330  <<  389-12-990 >>   End of Chapter

WAC 389-12-990

No agency filings affecting this section since 2003

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 section 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 . . . .
[Order XII, Appendix A—Form (codified as WAC 389-12-990), filed 11/28/73.]