Right-to-Know Request Form

Agency Name Being Submitted To *

First Name *

Last Name *

Company Name (if applicable)

Address *

City

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip *

Phone *

Email *

Fax

Contact Preference *
TelephoneEmailU.S. Mail

Be clear and concise. Provide as much specific detail as possible, ideally including subject matter, time frame, and type of record or party names. Use additional sheets if necessary. RTKL requests should seek records, not ask questions. Requesters are not required to explain why the records are sought or the intended use of the records unless otherwise required by law.
Records Requested *

Do you want copies?
Yes, printed copiesYes, electronic preferred (if available)No, in-person inspection of records (may request copies later)

Do you want certified copies?
Yes (may be subject to additional costs)No

Please notify me if fees associated with this request will be more than:
$100Other
Other Amount

RTKL requests may require payment or prepayment of fees. See the Official RTKL Fee Schedule for more details.