Open Records Request PDF "*" indicates required fields Submitted to Agency Name*Date Request Submitted*Submitted via* Email US Mail Fax In Person Full Name*Company (if applicable)Please send response via:* Email US Mail Email*Street Address*City*State*Zipcode*Telephone*How do you prefer to be contacted if the agency has questions?* Telephone Email US Mail By checking this box, I affirm that my full name and contact information is true and correct, and that I am a legal resident of the United States. I understand that failure to check this box may result in the denial of my request and the dismissal of any appeal filed with the Office of Open Records. Agree Records Requested*Provide as much detail as possible, including subject matter, time frame, and type of record sought. RTKL requests must seek records, not ask questions. More space if needed:Do you want copies?* Yes, printed Yes, electronic No, in-person inspection Records shall be provided in the medium requested if they exist in that medium; otherwise, they shall be provided in the medium in which they exist. See Section 701. Your request may require payment or prepayment of fees. View the Official RTKL Fee Schedule for more details. I understand that my request may incur fees. Notify me before further processing if fees will be more than:* $100 Other AmountDo you want certified copies?* Yes (may be subject to additional costs) No
