132B-276-990 - Appendix A - Request for public record to Community College District No. 2

132B-276-990. Appendix A - Request for public record to Community College District No. 2

APPENDIX "A"

REQUEST FOR PUBLIC RECORD TO

COMMUNITY COLLEGE DISTRICT NO. 2

. . . . . . . . . . . .

Signature

. . . . . . . . . . . .

Name (please print)

. . . . . . . . . . . .

Name of Organization

. . . . . . . . . . . .

Mailing Address of Applicant

. . . . . . . . . . . .

Phone Number

. . . . . . . . . . . .

Date Request Made at

Community College District No. 2

. . . . . . . . . . . .

Time of Day

of Request

Nature of Request . . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Identification Reference on Current Index (please describe)

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Description of record or matter requested, if not identifiable by reference to current index of Community College District No. 2

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Request . . . . . . . . . . . .

Approved

. . . . . . . . . . . .

Date

By . . . . . . . . . . . .

Public Records Officer

Request Denied

. . . . . . . . . . . .

Reasons for Denial . . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Referred to . . . . . . . . . . . .

Date . . . . . . . . . . . .

Order, Appendix A (codified as WAC 132B-276-990), filed 10/28/74.

The following state regulations pages link to this page.