Public Records Request Form
Office of the City Clerk · 609 8th Street · Hoquiam, WA 98550
Fax: (360) 532-2306 · Phone: (360) 538-3969
First and Last Name:
Mailing Address:
City, State, Zip Code:
Phone Number: E-mail Address:
Below please describe the records you are requesting. Please be as specific as possible to
avoid delays in processing your request:
Please understand if a list of individuals is provided to you by the City of Hoquiam, it may not
be used to promote an election of an official or to promote or oppose a ballot proposition. Also,
any list may not be used for commercial purposes or to give or provide access to material to
others for commercial purposes.
Pursuant to RCW 42.56.520 - Action for public record requests will be taken within five (5)
business days.
Signature: Date:
FOR OFFICE USE ONLY - INFORMATION BELOW WILL BE COMPLETED BY CITY STAFF
Received by: Date:
Five day letter sent:
Satisfied on:
Request was denied:
Please note: All requests for the Hoquiam Police Department should be returned to Candi Wertanen
via e-mail at cwertanen@cityofhoquiam.com or mailed to the Hoquiam Police Department, 215 10th
Street, Hoquiam, WA 98550.
