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Lakehaven Request for Public Records Form

  1. Public Records Officer
    31627 1st Avenue S
    Federal Way, WA 98003
  2. Request for Public Records
  3. Please provide your email address if you would like us to respond via email.

    (If you would like a copy of this form emailed to you, you must enter your email address again in the submission section of this form.)
  4. (Please be specific, using as many details as possible, i.e. dates, names, addresses, etc., so the District can clearly identify which records are being requested)
  5. If more space is needed, please attach additional pages
  6. Viewing Options
    Note: Payment is required prior to release of documents.
  7. I understand that Washington State law limits certain uses, including but not limited to RCW 42.17.130, prohibiting using lists of persons to promote election of persons or for promotion or opposition of ballot measures and RCW 42.56.070, prohibiting using lists of individuals for commercial purposes.
  8. Signature of Requestor*
    By checking the box below you agree that the information on this form is correct.
  9. Location
  10. Fee Schedule for Public Records Request, RCW 42.56.120(2)(b)
    Printed copies - 15 cents per standard copy
    Scanned copies - 10 cents per page for records scanned into an electronic format
    Electronic files and/or electronic attachments - $0.05 per each 4 electronic files or attachment uploaded to email, etc.
    Transmission of records via electronic format - $0.10 per GB for transmission of records in electronic format
    Digital Media Storage – At cost
    Mailing costs – At cost
    Charges are subject to change or as otherwise provided by District Fees & Charges Resolution.
  11. Print Option
    For best printing results, check the box to "Receive email copy" and provide your email address.

    Look for an email with subject line of: "Online Form Submittal: Lakehaven Request for Public Records Form". Ensure that your email program does not block email from "".

    Print the email from your email program.
  12. Leave This Blank:

  13. This field is not part of the form submission.