Request for public record—Form.
state of washington
puget sound partnership
request for public record
Date of Request: . . . . |
Requested By: . . . . |
. . . . |
. . . . |
Public Records or Information Requested: . . . . |
. . . . |
. . . . |
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: . . . . |
. . . . |
. . . . |
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) |
[Statutory Authority: Chapter
90.71 RCW. WSR 10-12-009, § 400-06-180, filed 5/20/10, effective 6/20/10. Statutory Authority: RCW
42.17.250 through
42.17.320, 1985 c 451 and chapter
90.70 RCW. WSR 86-04-055 (Order 86-02, Resolution No. 5), § 400-06-180, filed 2/3/86.]