Wash. Admin. Code § 131-276-990
APPENDIX "A"
REQUEST FOR PUBLIC RECORD TO
STATE BOARD FOR COMMUNITY AND TECHNICAL COLLEGES
(a) | . . . . . . . . . . .. Signature | . . . . . . . . . . .. Signature (Please Print) | ||
. . . . . . . . . . .. Name of Organization, if Applicable | ||||
. . . . . . . . . . .. Mailing Address of Applicant | . . . . . . . . . . .. Phone Number | |||
(b) | . . . . . . . . . . .. Date Request Made at State Board for Community and Technical Colleges | . . . . . . . . . . .. 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 State Board for Community and Technical Colleges Index . . . . . . . . . . .. | |||
. . . . . . . . . . .. | ||||
. . . . . . . . . . .. | ||||
. . . . . . . . . . .. | ||||
. . . . . . . . . . .. | ||||
Request: Approved | . . . . . . . . . . .. Date | By . . . . . . . . . . .. Public Records Officer | ||
Denied Date . . . . . . . . . . .. | ||||
Reasons for Denial: . . . . . . . . . . .. | ||||
. . . . . . . . . . .. | ||||
. . . . . . . . . . .. | ||||
Referred to . . . . . . . . . . .. | Date . . . . . . . . . . .. | |||
By . . . . . . . . . . .. Public Records Officer | ||||
Wash. Admin. Code § 131-276-990
Statutory Authority: Chapter 28.50 28B.50 RCW. 98-23-052, § 131-276-990, filed 11/13/98, effective 12/14/98; Order 18, Appendix A (codified as WAC 131-276-990), filed 7/2/73.