WAC 132X-10-150   Request for public records to South Puget Sound Community College.  

. . . . . . . . . . . . . . . . . . . . Name (Please Print)		. . . . . . . . . . . .           Signature
. . . . . . . . . . . . Name of Organization (If Applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mailing Address of Applicant			. . . . . . . . . . . Telephone Number
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Request Made at South Puget Sound Community College			. . . . . . . . . . . Time of Day Request Made
Nature of Request . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Identification Reference on Current Index (Please Describe): . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Description of Record, or Matter, Requested if not Identifiable by Reference to the South Puget Sound's Current Index: . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Request Approved . . . . . .		By: . . . . . . . . . . . .
	Date	Public Records Officer and/or his/her designee
Denied Date: . . . . . . . . . . . .
Reasons for Denial: . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . .
Referred to: . . . . . . . . . .		By: . . . . . . . . . . . .
		Public Records Officer and/or his/her designee
Date: . . . . . . . . . . . .

[Statutory Authority: RCW 28B.50.140. 88-21-071 (Order 88-1), § 132X-10-150, filed 10/18/88.]