WAC 133-20-120   Adoption of form.  The board hereby adopts for use by all persons requesting inspection or copying of its records, the form set out below, entitled "Request for public records."

     In order to request copies of our public records, please complete the attached form and return it with the proper payment to the address below. We will forward to you those requested copies which are not exempt from disclosure when we receive this form. Thank you.

	Return to:
	Community Economic Revitalization Board c/o Public Records Officer P.O. Box 48300 Olympia, WA 98504-8300
REQUEST FOR PUBLIC RECORDS
Date . . . . . .		Time . . . . . . . . . . . .		(In person requests only)
Name . . . . . . . . . . . .
Address . . . . . . . . . . . .
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Description of Records
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I certify that the information obtained through this request for public records will not be used for profit making.
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				Signature
(FOR BOARD USE ONLY)
Number of copies			. . . . . . . . . . . .
Number of pages			. . . . . . . . . . . .
Per page charge for in excess of ten pages			$ .15
Total charge			$ . . . . . . . . . . . .

[Statutory Authority: Chapter 43.160 RCW. 95-24-086, § 133-20-120, filed 12/5/95, effective 1/5/96. Statutory Authority: RCW 43.116.050(8) [43.160.050(8)]. 83-10-041 (Order 83-1), § 133-20-120, filed 5/2/83.]