PDFWAC 132J-276-900
Appendix "A"—Request for public record to College District No. 10.
APPENDIX "A"
REQUEST FOR PUBLIC RECORD TO
COLLEGE DISTRICT NO. 10
(a) | . . . . Signature | . . . . Signature (Please Print) | |||
. . . . Name of Organization, if Applicable | |||||
. . . . Mailing Address of Applicant | . . . . Phone Number | ||||
(b) | . . . . Date Request Made at College District No. 10 | . . . . 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 College District No. 10's Current Index . . . . | ||||
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Request: Approved . . . . | By . . . . | ||||
Date | Public Records Officer | ||||
Denied Date . . . . | |||||
Reasons for Denial | |||||
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Referred to . . . . | . . . . | By . . . . | |||
Date | Public Records Officer |
[Statutory Authority: RCW 28B.50.140 and 34.02.353 [34.05.353]. WSR 15-15-071, § 132J-276-900, filed 7/13/15, effective 8/13/15; Order 73-2, Appendix A (codified as WAC 132J-276-900), filed 5/14/73.]