PDFWAC 132D-276-140
Adoption of form.
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
COMMUNITY COLLEGE DISTRICT NO. 4
(a) | . . . . Name (please print) | . . . . Signature | ||
. . . . Name of Organization, if Applicable | ||||
. . . . Mailing Address of Applicant | . . . . Phone Number | |||
(b) | . . . . Date Request Made | . . . . Time of Day Request Made | ||
(c) | Nature of Request. . . . | |||
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(d) | Identification Reference on Current Index (Please describe) | |||
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(e) | Description of Record, or Matter, Requested if not Identifiable by Reference to the Community College District No. 4 | |||
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Request: | APPROVED. . . . | DENIED. . . . | Date. . . . | |
By | . . . . Name | . . . . Title | ||
Reasons for Denial: . . . . | ||||
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Referred to. . . . | Date. . . . | |||
By | . . . . Name | . . . . Title | ||
[Statutory Authority: RCW 28B.50.140. WSR 89-11-024 (Order 89-07), § 132D-276-140, filed 5/11/89.]