Standard Right-To-Know Request Form - Mount Pleasant Township, Washington County printable pdf download

Standard Right-To-Know Request Form - Mount Pleasant Township, Washington County

STANDARD RIGHT-TO-KNOW REQUEST FORM

MOUNT PLEASANT TOWNSHIP, WASHINGTON COUNTY

DATE REQUESTED:

REQUEST SUBMITTED BY:

E-MAIL (if available)

U.S. MAIL

IN-PERSON

NAME OF REQUESTOR:__________________________________________________

STREET ADDRESS:______________________________________________________

CITY/STATE/COUNTY (Required): __________________________________________

TELEPHONE NUMBER:___________________________________________________

RECORDS REQUESTED:

*Provide as much specific detail as possible so the agency can identify the information.

DO YOU WANT COPIES? YES or NO

DO YOU WANT TO INSPECT THE RECORDS? YES or NO

DO YOU WANT CERTIFIED COPIES OF RECORDS? YES or NO

____________________________________________________________________________

Erin Sakalik

RIGHT TO KNOW OFFICER:

DATE RECEIVED BY THE AGENCY:

AGENCY FIVE (5) BUSINESS DAY RESPONSE DUE DATE:

**Public bodies may fill anonymous verbal or written requests. If the requestor wishes to pursue

the relief and remedies provided for in this Act, the request must be in writing. (Section 702.)

Written requests need not include an explanation why information is sought or the intended use

of the information unless otherwise required by law. (Section 703.)

Standard Right-To-Know Request Form - Mount Pleasant Township, Washington County