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:
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REQUEST FOR PUBLIC RECORD TO COMMITTEE ON ADVANCED TUITION PAYMENT |
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(a) . . . . . . . . . . .. |
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Name (please print) |
Signature |
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Name or Organization, if applicable |
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Mailing Address of Applicant |
Phone Number |
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(b) . . . . . . . . . . .. |
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Date Request Made |
Time of Day Request Made |
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(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 . . . . . . . . . . .. |
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By . . . . . . . . . . .. |
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Name |
Title |
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Reasons for Denial: . . . . . . . . . . .. |
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Referred to . . . . . . . . . . .. |
Date . . . . . . . . . . .. |
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By . . . . . . . . . . .. |
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Name |
Title |
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Notes
Statutory Authority: RCW 28B.95.030(9)(e). 98-23-009, § 14-276-140, filed 11/5/98, effective 12/6/98.
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