Right To Know Request Form - Pottsville Area School District printable pdf download

Right To Know Request Form - Pottsville Area School District

Pottsville Area School District

RIGHT-TO-KNOW REQUEST FORM

DATE REQUESTED: ______________

REQUEST SUBMITTED BY:

E-MAIL

U.S. MAIL

FAX

IN-PERSON

NAME OF REQUESTOR :______________________________________

STREET ADDRESS

:_____________________________________________

CITY/STATE/COUNTY (Required): __________________________________________

TELEPHONE (Optional):___________________________________________________

RECORDS REQUESTED:

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

DO YOU WANT COPIES? YES or NO Paper ___ Electronic____ (provide email)

DO YOU WANT TO INSPECT THE RECORDS? YES or NO

DO YOU WANT CERTIFIED COPIES OF RECORDS? YES or NO

____________________________________________________________________________

Return form to: Stephen Curran, Business Manager/Open Records Officer, Pottsville

Area School District, 1501 West Laurel Boulevard, Pottsville PA 17901 or via email at

scurran@pottsville.k12.pa.us

or facsimile at 570-621-2044

**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.)

OFFICE USE ONLY: DATE RECEIVED BY THE DISTRICT___________

DATE INFORMATION SENT:____________

Right To Know Request Form - Pottsville Area School District