Rev. 11.19.19
REQUEST FOR PUBLIC RECORDS
VICTOR VALLEY COMMUNITY COLLEGE
SECTION I – Complete sections I and II only. DATE: ____________________
REPRESENTING (if applicable)
_______________________________________ ______________________________________
Name of Requestor
_______________________________________ ______________________________________
STREET ADDRESS
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.
___________________________
REQUESTER’S SIGNATURE
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).
Explanation:
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
