Fillable 177 County Open Records Request Form.html (County of York)

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177 County Open Records Request Form.html (County of York)

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U.S.A. forms for County of York

BROWSE COUNTY OF YORK (PA) FORMS

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COUNTY OF YORK
OPEN RECORDS REQUEST FORM
**Please print legibly**
Name of Requester:
Requester Address:
Telephone (Optional):
Email Address (Optional):
RECORDS REQUESTED:
Please select one of the following:
I request a paper copy of the record(s).
I request an electronic copy of the record(s) (e.g. compact disk).
If you are requesting a copy of the record(s) identified above, please select one of the following:
I am requesting access to view the record(s) identified above.....
I am requesting a copy of the record(s) identified above.
I am requesting access to view the record(s) identified above and a copy of the record(s).
** Note – The County of York may assess all applicable fees associated with duplication of the record(s).
Written Request should be made by one of the following:
Mailed/Hand-delivery to: County of York Open Records Official
York County Administrative Center
28 East Market Street
Room 216
York, Pa. 17401
E-Mail: CountyOpenRecordsOfficial@yorkcountypa.gov
** Note: County of York reserves the right to post or release any and all open records requests and responses thereto.
REQUESTER SIGNATURE: _____________________________________________ DATE: ____________________
To be completed by County of York Open Records Official
Date Request Received:_____________________________ Response Due By:__________________________________
Date of Notification
to Requester:
Approved
Denied
Fees:
Signature of Open Records Official:
Action Taken:
Additional Comments:
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177 County Open Records Request Form.html (County of York)

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Completed 6 August 2020

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