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WAC 474-01-990: Form—Request for public records


Published: 2015

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WACs > Title 474 > Chapter 474-01 > Section 474-01-990











474-01-130    

End of Chapter







No agency filings affecting this section since 2003







WAC 474-01-990









Form—Request for public records.









OFFICE OF STATE TREASURER
REQUEST FOR PUBLIC RECORDS

      Date . . . .

      Time . . . .

REQUESTED BY:    

Name . . . . Title . . . .

Address . . . .

Telephone No. . . . . Representing . . . .

NATURE OF REQUEST:    

. . . . 

. . . . 

. . . . 

DETAILED DESCRIPTION OF DOCUMENT:

. . . . 

. . . . 

. . . . 

   
. . . . . . . . . . . . . . . . . . . . . .
(Signature)


  —— FOR OFFICE USE ONLY ——  

(1)
Request
Granted □

Record
Withheld □

Record
Withheld
in Part □


(2) If withheld, name the exemption contained in section 31, chapter 1, Laws of 1973, which authorizes the withholding of the record or part of the record: Subsection (1)(  ).

(3) If withheld, briefly explain how the exemption applies to the record withheld.

(4) If request granted, time . . . . . . . . , date . . . .

Reviewed: . . . . Public Records Officer
(Initial)


   
. . . . 
(Initial)
Deputy or Assistant State Treasurer

[Order 2, Form (codified as WAC 474-01-990), filed 7/30/74.]