PDFWAC 322-12-160
Adoption of form.
The commission on Hispanic affairs hereby adopts for use by all persons requesting inspection and/or copies of records the form set out below, entitled "Request for public records."
We have received your request for copies of our public records. Please complete the form on the right and return it with the amount required. We will forward the requested copies to you as soon as we receive this form.
Thank you.
Return to:
Commission on Hispanic Affairs
210 11th Avenue S.W., Suite 301A
Olympia, WA 98504-0924
Commission on
Hispanic Affairs
request for public records
Date . . . . | Time . . . . | ||
Name . . . . | |||
Address . . . . | |||
. . . . | |||
Description of Records (see index): | |||
. . . . | |||
. . . . | |||
. . . . | |||
I certify that the information obtained through this request for public records will not be used for commercial purposes. | |||
. . . . | |||
Signature | |||
Number of copies | . . . . | ||
Number of pages | . . . . | ||
Per page charge | . . . . | ||
Total charge | $ . . . . | ||
[Statutory Authority: RCW 43.115.040. WSR 08-07-001, § 322-12-160, filed 3/5/08, effective 4/5/08; Order 1, § 322-12-160 and form, filed 12/9/74.]