Fillable City of North Bend Public Records Request Form (City of North Bend)

Fill Online, Printable, Fillable, Blank City of North Bend Public Records Request Form (City of North Bend) Form

Use Fill to complete blank online CITY OF NORTH BEND (WA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

City of North Bend Public Records Request Form (City of North Bend)

On average this form takes 6 minutes to complete

The City of North Bend Public Records Request Form (City of North Bend) form is 2 pages long and contains:

  • 0 signatures
  • 2 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of North Bend

BROWSE CITY OF NORTH BEND (WA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of North Bend
Public Records Request Form
920 SE Cedar Falls Way - P.O. Box 896
North Bend, WA 98045
Phone 425-888-1211
Fax 425-831-6200
Website: http://northbendwa.gov
Note: The City of North Bend will attempt to meet your request as soon as possible within time and availability
constraints. If the record(s) is not readily available you will be notified within five (5) working days as to when
the record(s) will be available. There may be a charge for the record(s) you are requesting.
Section 1 - To Be Completed by Requestor
Your name: Phone:
Mailing address:
Describe the record(s) you are requesting. Please supply as much identifying information as possible to
assist staff in locating the records quickly. Examples: specific date ranges, document titles, names, addresses,
parcel numbers. Use back of form if necessary.
How do you want the record(s) made available? Review at City facility:
If available e-mail to: ______________________________ Copy provided:
I understand Washington State law restricts certain uses of public records, including but not limited to RCW
42.56.070(9) prohibiting using lists of individuals for commercial purposes. I hereby declare under penalty of
perjury and the laws of the State of Washington that the requested records shall not be used in violation of State law.
Signature: ____________________________________________ Date:
Section 2 - For Internal Use Only
Employee receiving request: Date received:
Original forwarded to: and a copy sent to City Clerk
Date received by Dept: Initial action taken:
By: Date:
Final action:
By: Date:
After final action send original request and all documentation to the City Clerk.
Amount due:
Date paid:
Receipt #:
Received by:
Date
Staff Member
Time
STAFF USE ONLY
Total
Section 1 Continued - To Be Completed by Requestor
Section 2 Continued - For Internal Use Only
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

City of North Bend Public Records Request Form (City of North Bend)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document