WEST VIRGINIA STATE TREASURER’S OFFICE FOIA REQUEST FORM
Requests must be in writing to ensure we understand your request and may be made in
any reasonable format via U.S. Mail or Email. This form is solely provided to facilitate your
request.
S
end to:
Diana Stout, General Counsel
West Virginia State Treasurer’s Office
Building 1, Room E-145
1900 Kanawha Boulevard, East
Charleston, WV 25305
Phone: 304.558.5000
LegalGroup@wvsto.com
R
equester’s Name: _____________________________________________________
Requester’s Address: ________________________________________________
Requester’s City, State, Zip: ___________________________________________
Requester’s Telephone Number (including area code): _____________________
Requester’s Email Address:
__
_________________________________________
D
ate: ________________________________________________________________
Pursuant to the West Virginia Freedom of Information Act, I am requesting the following
public records maintained by the West Virginia State Treasurer’s Office (be as specific
as possible describing the records requested):
I am willing to pay a reasonable fee for the cost
of reproducing these records. If the cost
will exceed $____________, please let me know the cost before you make copies.
NOTE: Information pertaining to this request will be published in the West Virginia
Secr
etary of State FOIA Database.
Costs:
$0.50 per printed page
If less than $10.00, there will be
no charge.
