PDFWAC 400-06-180
Request for public record—Form.
state of washington
puget sound partnership
request for public record
Date of Request: . . . . |
Requested By: . . . . |
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Public Records or Information Requested: . . . . |
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Requester Must Read and Sign: |
I understand that I must abide by the rules and regulations published by the Puget Sound Partnership for the protection of public records, a copy of which I have read and understand. | ||
I understand that I will be charged a reasonable fee to reimburse the partnership actual costs associated with fulfilling my request. |
Requester's Signature . . . . | ||
. . . . | ||
Completed by Partnership Public Records Officer: | ||
Date of Receipt: . . . . | ||
Number of Copies: . . . . | ||
Amount Received: $ . . . . | ||
Reason if Partnership is Unable to Comply: . . . . | ||
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Public Records Officer Signature: . . . . | ||
Public records of the agency are provided for inspection and copying subject to the following regulations: | ||
(1) | No person shall knowingly alter, deface, or destroy public records of the partnership. | |
(2) | Original copies of public records of the agency shall not be removed from the offices of the partnership. | |
(3) | Care and safekeeping of public records of the partnership, furnished pursuant to a request for inspection or copying, shall be the sole responsibility of the requestor. | |
(4) | Records furnished for public inspection or copying shall be returned in good condition and in the same file sequence or organization as when furnished. | |
(5) | Boisterous or otherwise disruptive conduct by those requesting public records of the partnership shall not be permitted. | |
I have read, understand, and will comply with the above-stated regulations. | ||
. . . . (Signature and date) | ||