Phone
- (814)764-5111
Fax
– (814)764-5729
STANDARD RIGHT-TO-KNOW REQUEST FORM
DATE REQUESTED:
REQUEST SUBMITTED BY: ___E-MAIL___U.S.
MAIL___ FAX___IN-PERSON
NAME OF REQUESTOR :______________________________________
STREET ADDRESS :_____________________________________________
TELEPHONE (Optional):___________________________________________________
RECORDS REQUESTED:
*Provide as much specific detail as possible so the agency can identify the
information.
DO YOU WANT COPIES? YES or NO
DO YOU WANT TO INSPECT THE RECORDS? YES or NO
DO YOU WANT CERTIFIED COPIES OF RECORDS?
YES or NO
____________________________________________________________________________
RIGHT TO KNOW OFFICER:
DATE RECEIVED BY THE AGENCY:
AGENCY FIVE (5)-DAY RESPONSE DUE:
**Public bodies may fill anonymous verbal or written requests. If the requestor wishes to pursue the relief
and remedies provided for in this Act, the request must be in writing. (Section 702.) Written requests need not include an
explanation why information is sought or the intended use of the information
unless otherwise required by law. (Section
703.)