REQUEST FOR PUBLIC RECORDS
VICTOR VALLEY COMMUNITY COLLEGE
SECTION I – Complete sections I and II only. DATE: ____________________
REPRESENTING (if applicable)
Name of Requestor
If there is any particular urgency attached to this request,
_______________________________________ please indicate the date by which you need the
CITY – STATE – ZIP information.
Phone # The College may charge for photocopies.
SECTION II – NATURE OF REQUEST: Describe the records you want to see. Please be as specific as possible.
Please allow 10 working days from the date of your request for copies to be provided.
SECTION III (For VVC offices to complete) - Disposition of Request
____ ALLOW ACCESS The applicable department has been notified and you may access the requested records.
____ DENY ACCESS The College has determined that the records you have requested are exempt under the law for
the following reasons (see explanation).
____ WE DO NOT HAVE THE RECORD(S).
NAME: Michelle Painter, Executive Assistant
REQUEST # _______DATE RECEIVED: ___________________ SIGNATURE: _____________________
Please submit your request directly to the Office of the President, Victor Valley College, 18422 Bear Valley Rd.,
Victorville, CA 92395