- Request for Disclosure of Public Records
Under Washington State PRA 42.56
For business office use only
Date Received: Tracking No:
Department: Total Pages:
Fees Assessed: Date Paid:
Date of Request:
Requester Information
Full Name: Phone:
Company: Email:
Mailing Address:
City, State, Zip:
Records Requested
Please describe the records you are requesting along with any additional information that may help us locate the records for
you as...