- Document number
- RIGHT-TO-KNOW-FORM
- Version
- 1.0
- Issued or effective
- —
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STANDARD RIGHT-TO-KNOW REQUEST FORM
DATE REQUESTED:
REQUEST SUBMITTED BY: E-MAIL U.S. MAIL FAX IN-PERSON
NAME OF REQUESTER :______________________________________
STREET ADDRESS :_____________________________________________
CITY/STATE/COUNTY/ZIP(Required): __________________________________________
TELEPHONE (Optional):___________________________________________________
RECORDS REQUESTED:
*Provide as much specific detail as possible so the agency can identify the information.
DO YOU WANT COPIES? YES or NO
DO YOU WANT TO INSPECT THE RECORDS? YES or NO
DO YOU WANT CERTIFIED COPIES OF RECORDS? YES or NO
____________________________________________________________________________
FOR AGENCY USE ONLY
RIGHT TO KNOW OFFICER:
DATE RECEIVED BY THE AGENCY:
AGENCY FIVE (5) BUSINESS DAY RESPONSE DUE:
**Public bodies may fill anonymous verbal or written requests. If the requestor wishes to pursue
the relief and remedies provided for in this Act, the request must be in writing. (Section 702.)
Written requests need not include an explanation why information is sought or the intended use
of the information unless otherwise required by law. (Section 703.)