174-276-095  <<  174-276-100 >>   174-276-110

WAC 174-276-100

Form—Request for public records.

request for public records
The Evergreen State College
Section I-identification. The information requested in Boxes 1 through 4 is not mandatory. If provided, it will allow the Records Officer to contact you, if necessary, in connection with your request.
 
date
1. Name of Requester
2. Representing (if applicable)
3. Street Address
 
 
4. City-State-Zip Code
If there is any particular urgency
attached to this request, please
indicate the date by which
you need the information.
Section II-nature of request. Please be specific about the records you wish to see. If you do not know the name of the records, make your request in the form of a question. To comply with RCW 42.17.260(5) (noncommercial use), please sign the certification below.
I certify that the information obtained as a result of this request for public records will not be used in whole or in part to compile a list for commercial purposes.
 
 
 
 
 
 
. . . .
 
 
 
 
 
 
Requester's Signature
do not fill in below this line
Section III- request for review
Requested by
 
 
Office
 
 
 
Telephone
Section IV-disposition of request
1.
2.
 
3.
4.
5.
6.
7.
 
 
 
8.
9.
[Statutory Authority: Chapter 34.05 RCW. WSR 90-04-011, § 174-276-100, filed 1/26/90, effective 2/26/90.]
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