PDFWAC 131-276-990
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.]