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Lakehaven Request for Public Records Form
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Public Records Officer
31627 1st Avenue S
Federal Way, WA 98003
Request for Public Records Process - September 2017 (PDF)
Request for Public Records
Name of Requestor
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.)
Description of Records Being Requested
(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)
If more space is needed, please attach additional pages
Note: Payment is required prior to release of documents.
Hold copies for pickup
Please do not make copies, but allow review of documents prior to copying
If available, email copies, scan copies or provide compact disk for electronic data
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.
Signature of Requestor
By checking the box below you agree that the information on this form is correct.
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.
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