Request for Public Records

Check our Public Project Search page to see if the records you need are publicly available. If you can’t find the records you need online, please fill out the form below or download and print a copy (pdf) to submit to our office.

Date of Request*
Time of Request*

: Hours

Minutes

AM/PM
Requestor Name*
First Last
Email Address*
Business Name (if applicable)
Requestor Address*
Street Address Address Line 2 City State ZIP Code
Phone*
When requesting records, please be as specific as possible in the types of documents you’re requesting (e.g. reports, emails, letters, etc.). Please provide a timeline, clearly spelled names, addresses, and identification numbers. Providing specific information will allow us to process your request more efficiently.
Description of Public Records Requested (please be specific)*
If you are requesting to inspect records at the agency’s location, please allow a minimum of five [5] business days from the date of request to ensure adequate time for the agency to provide the records requested.
Date of Inspection
Time of Inspection

: Hours

Minutes

AM/PM
I understand there may be a cost for production of these records and I may be charged a fee according to PLIA’s Fee Schedule. (RCW 42.56.120[2][b] & [c], [3], [4]; RCW 42.56.13)

I certify that any records listing individuals will NOT be used for commercial purposes.
Signature
Your Name
Your Name
Your Name
Date
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