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Title

Public Records Request for Office of Civil Legal Aid (OCLA)

Publications and Documents

Date:

Time:

Name:

Phone:

Address:  (UPS may be used for shipment--please provide a mailing address for UPS delivery.)

 

 

 

 

Description of Publication(s) or Document(s):

 

 

 

 

 

 

Will this material be used for commercial purpose?
  
¨ Yes        ¨ No

State law (RCW 42.17.300) authorizes agencies to charge requesters for the actual costs of reproducing documents, or 15¢ per page if actual cost has not been determined, plus packaging and mailing costs.  Pursuant to OCLA policy, charges for copying 50 pages or less are waived.

______________________________                                               ________

Signature

FOR OCLA USE

Date Received:

By:

Request:

Approved  ¨        Denied  ¨

Date Request Filled:

If denied, reason:

 

 

Total Charge:         $__________

Pg. Cost:

Shipping:

 

 
 
 
 
 
 
 
 

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