Wash. Admin. Code § 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
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Name or Organization, if applicable
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Mailing Address of Applicant	Phone Number
(b) . . . . . . . . . . ..
Date Request Made	Time of Day Request Made
(c) Nature of Request . . . . . . . . . . ..
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(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 Committee on Advanced Tuition Payment Index
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Request: APPROVED . . . . . . . . . . ..	DENIED . . . . . . . . . . ..	Date . . . . . . . . . . ..
By . . . . . . . . . . ..
Name	Title
Reasons for Denial: . . . . . . . . . . ..
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Referred to . . . . . . . . . . ..	Date . . . . . . . . . . ..
By . . . . . . . . . . ..
Name	Title

Notes

Wash. Admin. Code § 14-276-140

Statutory Authority: RCW 28B.95.030(9)(e). 98-23-009, § 14-276-140, filed 11/5/98, effective 12/6/98.