Public Records Request Form

Title/Date of Record(s) Requested

Description of the record(x) you are requesting and any additional information that will help to identify the correct record; include Address of Record, if applicable

Requestor's Name (required)

Address

City

State

Zip

Email (required)

I understand that there may be charges for duplication of these specific records. A minimum of .15 cents per page for standard photocopies will be charged to the requestor.

I certify that the lists of individuals obtained through this request for public records will not be used for commercial purposes. (RCW 42.56.070)