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)