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PDFWAC 14-276-140

Adoption of form.

The committee 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 committee on advanced tuition payment
(a). . . .
Name (please print)
Signature
 
. . . .
Name or Organization, if applicable
 
. . . .
Mailing Address
of Applicant
Phone Number
 
(b). . . .
Date Request Made
Time of Day
Request Made
 
(c) Nature of Request. . . .
. . . .
. . . .
. . . .
 
(d) Identification Reference on Current Index (Please describe)
. . . .
. . . .
. . . .
 
(e) Description of Record, or Matter, Requested if not Identifiable by Reference to the Committee on Advanced Tuition Payment Index
. . . .
. . . .
. . . .
 
Request: approved. . . .
denied. . . .
Date. . . .
 
By. . . .
Name
Title
 
Reasons for Denial:. . . .
. . . .
. . . .
 
Referred to. . . .
Date. . . .
 
By. . . .
Name
Title
[Statutory Authority: RCW 28B.95.030 (9)(e). WSR 98-23-009, § 14-276-140, filed 11/5/98, effective 12/6/98.]
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