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2. First Name*
3. Last Name*
5. Preferred Method of Contact*

   1. Phone Number

   1. Email

   1. Physical Mail
7. Phone Number
8. Email Address
10. Address 1
12. Address 2
14. City
15. State
16. Zip
18. I would like to*

    1. Inspect/view records at City Hall

    1. Copies via e-mail *

    1. Purchase hard copies *
20. Please Note:
    *Any fees associated with the records request will be charged according to the City’s adopted fee schedule and must be paid before the records will be released. You will be notified if charges apply prior to your request being filled.
22. Records*
    Please describe the records you are requesting and provide any additional information that will help us locate them. Use appropriate document titles and dates, if known.
24. Do you agree?*

    I understand that Washington State Law (RCW 42.56.070(8)) prohibits the use of lists of individuals for commercial purposes. I understand that “commercial purposes” means that the list will be used for the purpose of facilitating profit-expecting activity. I hereby declare under penalty of perjury pursuant to the laws of the State of Washington that I will not use the list of individuals obtained from this request for commercial purposes. I also acknowledge that I am solely responsible for any consequences or damages arising from my commercial use of the list of individuals I am obtaining.

    1. I Agree
26. Signature of person making the request
    The City will respond to this request within five (5) business days.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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