WAC 14-276-140   Adoption of form.  The committee hereby adopts for use by all persons requesting inspection and/or copying or copies of its records the following form:

REQUEST FOR PUBLIC RECORD TO COMMITTEE ON ADVANCED TUITION PAYMENT
(a) . . . . . . . . . . . .
Name (please print)	Signature
. . . . . . . . . . . .
Name or Organization, if applicable
. . . . . . . . . . . .
Mailing Address of Applicant	Phone Number
(b) . . . . . . . . . . . .
Date Request Made	Time of Day Request Made
(c) Nature of Request . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
(d) Identification Reference on Current Index (Please describe)
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
(e) Description of Record, or Matter, Requested if not Identifiable by Reference to the Committee on Advanced Tuition Payment Index
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Request: APPROVED . . . . . . . . . . . .	DENIED . . . . . . . . . . . .	Date . . . . . . . . . . . .
By . . . . . . . . . . . .
Name	Title
Reasons for Denial: . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Referred to . . . . . . . . . . . .	Date . . . . . . . . . . . .
By . . . . . . . . . . . .
Name	Title

[Statutory Authority: RCW 28B.95.030 (9)(e). 98-23-009, § 14-276-140, filed 11/5/98, effective 12/6/98.]