Right-To-Know Request Form - Kingston printable pdf download

Right-To-Know Request Form - Kingston

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 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 THE RECORDS? Yes or No

_____________________________________________________________________________________________

RIGHT-TO-KNOW OFFICER:

DATE RECEIVED BY THE AGENCY: (Stamp)

AGENCY FIVE (5)-DAY RESPONSE DUE:

**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)

Right-To-Know Request Form - Kingston