PDFWAC 140-12-070

Adoption of form.

The corporation hereby adopts the following form for use by all persons requesting inspection and/or copies of public records:
. . . .
Name of Applicant
. . . .,
Mailing Address of Applicant
. . . .
Phone Number
. . . .
Date Request Made at Washington State Convention and Trade Center
. . . .
Time of Day of
Request Made
Nature of Request: . . . .
. . . .
. . . .
. . . .
Description of Record Requested: . . . .
. . . .
. . . .
Said Records Have Not Been Requested to Provide Access to Lists of Individuals for Commercial Purposes.
. . . .
Signature
. . . .
Signature (please print)
Request: Approved
. . . .
Date
By. . . .
Denied Date: . . . .
Reasons for Denial: . . . .
. . . .
Referred to. . . .
. . . .
Date
By. . . .
[Statutory Authority: RCW 42.17.250. WSR 83-06-035 (Order 2, Resolution No. 10), § 140-12-070, filed 2/28/83.]