WAC 495B-276-140:

WACs > Title 495B > Chapter 495B-276 > Section 495B-276-140

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495B-276-130 << 495B-276-140 >> End of Chapter

The district 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

bellingham technical college

(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 Bellingham Technical College Index
	. . . .
	. . . .
	. . . .
(f)	I hereby certify under penalty of perjury under the laws of the state of Washington that these requested records shall not be used to compile a commercial sales list.
dated this . . . . day of . . . . . , 1992 at . . . . , Washington.
Request: approved . . . .		denied . . . .		Date . . . .
By	. . . . Name		. . . . Title
Reasons for Denial: . . . .
. . . .
. . . .
Referred to . . . .		Date . . . .
By	. . . . Name		. . . . Title

[Statutory Authority: RCW 28B.10.140, 42.30.075 and chapter 34.05 RCW. WSR 93-05-018, § 495B-276-140, filed 2/10/93, effective 3/13/93.]