WAC 132D-276-140. Adoption of form

The district hereby adopts for use by all persons requesting inspection and/or copying or copies of its records the following form: REQUEST FOR PUBLIC RECORD TO COMMUNITY COLLEGE DISTRICT NO. 4 (a) . . . . Name (please print) . . . . Signature . . . . Name of Organization, if Applicable . . . . Mailing Address of Applicant . . . . Phone Number (b) . . . . Date Request Made . . . . Time of Day Request Made (c) Nature of Request. . . . . . . . . . . . (d) Identification Reference on Current Index (Please describe) . . . . . . . . . . . . (e) Description of Record, or Matter, Requested if not Identifiable by Reference to the Community College District No. 4 . . . . . . . . . . . . Request: APPROVED. . . . DENIED. . . . Date. . . . By . . . . Name . . . . Title Reasons for Denial: . . . . . . . . . . . . Referred to. . . . Date. . . . By . . . . Name . . . . Title (a) . . . . Name (please print) . . . . Signature . . . . Name of Organization, if Applicable . . . . Mailing Address of Applicant . . . . Phone Number (b) . . . . Date Request Made . . . . Time of Day Request Made (c) Nature of Request. . . . . . . . . . . . (d) Identification Reference on Current Index (Please describe) . . . . . . . . . . . . (e) Description of Record, or Matter, Requested if not Identifiable by Reference to the Community College District No. 4 . . . . . . . . . . . . Request: APPROVED. . . . DENIED. . . . Date. . . . By . . . . Name . . . . Title Reasons for Denial: . . . . . . . . . . . . Referred to. . . . Date. . . . By . . . . Name . . . . Title