PDFWAC 132U-276-240
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. 21 | ||||
(a) | . . . . Name (please print) | . . . . . . . . . . . . . . . . . . . . Signature | ||
. . . . Name of Organization, if applicable | ||||
. . . . Mailing Address of applicant | . . . . . . . . . . . Phone | |||
(b) | . . . . Date Request made | . . . . . . . . . . . Time of Day Request made | ||
(c) | Nature of Request . . . . | |||
. . . . | ||||
(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 21 | |||
. . . . | ||||
. . . . | ||||
Request: Approved . . . . . | Denied . . . . . | Date. . . . | ||
By | . . . . . . . . . . . . . . . . . Name | . . . . . . . . . . . . . . . . . . . . Title | ||
Reasons for Denial:. . . . | ||||
. . . . | ||||
. . . . | ||||
Referred to. . . . | Date. . . . | |||
[Statutory Authority: RCW 28B.50.130 and 28B.50.140. WSR 88-15-005 (Order 88-03), § 132U-276-240, filed 7/8/88.]