Standard Right-to-Know Law Request Form
Standard Right-to-Know Law Request Form
SUBMITTED TO AGENCY NAME:
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DATE
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Submitted via
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NAME OF REQUESTOR
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Company (if applicable)
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ADDRESS
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PHONE
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Fax
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Email
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How do you prefer to be contacted if the agency has questions?
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RECORDS REQUESTED
DO YOU WANT COPIES?
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Do you want certified copies?
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If you want certified copies?
RTKL requests may require payment or prepayment of fees. See the Official RTKL Fee Schedule for more details.
Please notify me if fees associated with this request will be more than
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Enter Dollar Amount
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