WAC 434-690-99001. Appendix B—Form—Request for public records

appendix b request for public records Name of Requestor: Address: Phone: Date of Request: Time of Request: Nature of Request: 1. Index Reference . . . . . . . . . . . . . . . . Signature . . . . For Office Use Only: (1) Request Granted □ Record Withheld □ Record Withheld In Part □ (2) If withheld, name the exemption contained in RCW 42.17.310 which authorizes the withholding of the record or part of record: Subsection (1) (   ). (3) If withheld, briefly explain how the exemption applies to the record withheld. (4) If request granted, time  . . . . . . , day  . . . . . . . Name of Requestor: Address: Phone: Date of Request: Time of Request: Nature of Request: 1. Index Reference . . . . . . . . . . . . . . . . Signature . . . . For Office Use Only: (1) Request Granted □ Record Withheld □ Record Withheld In Part □ (2) If withheld, name the exemption contained in RCW 42.17.310 which authorizes the withholding of the record or part of record: Subsection (1) (   ). (3) If withheld, briefly explain how the exemption applies to the record withheld. (4) If request granted, time  . . . . . . , day  . . . . . . .