Request for Public Records
Please describe the records below, providing any additional information that will help us locate them for you as quickly
as possible. Use appropriate document titles and dates, if known.
Do you want to?
Inspect the records at no charge
Receive a copy after paying required fee
Inspect the records first and then consider selecting records to copy and pay for
Within five business days of receipt of the request, the City will respond by: (1) making the record available for
inspection or copying, or, if payment is made or terms of payment are agreed upon, sending the records to the requestor;
or (2) acknowledging the receipt of the request and providing a reasonable estimate of time the City will require to
respond to the request; or (3) denying the request.
Washington State Law, RCW 42.56.270 prohibits the use of lists of individuals for commercial purposes. If I or
someone else uses these records for commercial purposes I may violate the rights of the individuals named and I may be
liable for damages. “Commercial purposes” means that the person requesting the records intends that the list will be
used to communicate with the individuals named in the record for the purpose of facilitating profit-expecting activity.
I certify that the lists of individuals obtained through this request for public records will not be used for commercial
Dated this _________ day of _________________, 20 ____.
City, State, Zip
-See Next Page for Fee Schedule and Response to Request-