Form ECY010-37 "Request for Public Record" - Washington

What Is Form ECY010-37?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2108;
  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ECY010-37 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY010-37 "Request for Public Record" - Washington

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REQUEST FOR PUBLIC RECORD
DEPARTMENT OF ECOLOGY
Public Records Officer
PO Box 47600
Olympia, WA 98504-7600
publicrecordsofficer@ecy.wa.gov
Date of Request:
Phone: (360) 407-6040 Fax: (360) 407-6989
Contact Information:
Requester Name:
Phone Number: (
)
Company (if applicable):
Alternate Number: (
)
Address:
Fax Number: (
)
City/State/Zip:
Email Address:
Preferred Communication: Phone☐ Email☐
Please describe the records you are requesting (i.e., facility name(s), address(es), Facility/Site ID, permit
number) and any additional information that will help identify and locate responsive records. Failure to provide
information sufficient to identify records may cause a delay. Please include a date range/time frame of records
you are seeking if applicable.
Request is related to: Phase I ☐ Litigation ☐
☐ I want to review records in person (we will contact you for an appointment).
☐ I would like duplication of records (you will be notified of estimated costs prior to duplication).
By submitting this request, you acknowledge and agree to:
Pay Ecology to duplicate responsive records, according to the copy fee schedule. This may include actual costs
Ecology incurs when using an outside vendor to perform duplication, as allowed by RCW 42.56.120.
Not use any lists of individuals obtained through this public records request for commercial purposes, in
accordance with RCW 42.56.070(8).
Please visit our
website
to see what happens when a request is submitted.
If you need this publication in an alternate format, please call the Public Records Office at (360) 407-6040. Persons with
hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call (877) 833-6341.
ECY 010-37 (Rev. 3/18)
REQUEST FOR PUBLIC RECORD
DEPARTMENT OF ECOLOGY
Public Records Officer
PO Box 47600
Olympia, WA 98504-7600
publicrecordsofficer@ecy.wa.gov
Date of Request:
Phone: (360) 407-6040 Fax: (360) 407-6989
Contact Information:
Requester Name:
Phone Number: (
)
Company (if applicable):
Alternate Number: (
)
Address:
Fax Number: (
)
City/State/Zip:
Email Address:
Preferred Communication: Phone☐ Email☐
Please describe the records you are requesting (i.e., facility name(s), address(es), Facility/Site ID, permit
number) and any additional information that will help identify and locate responsive records. Failure to provide
information sufficient to identify records may cause a delay. Please include a date range/time frame of records
you are seeking if applicable.
Request is related to: Phase I ☐ Litigation ☐
☐ I want to review records in person (we will contact you for an appointment).
☐ I would like duplication of records (you will be notified of estimated costs prior to duplication).
By submitting this request, you acknowledge and agree to:
Pay Ecology to duplicate responsive records, according to the copy fee schedule. This may include actual costs
Ecology incurs when using an outside vendor to perform duplication, as allowed by RCW 42.56.120.
Not use any lists of individuals obtained through this public records request for commercial purposes, in
accordance with RCW 42.56.070(8).
Please visit our
website
to see what happens when a request is submitted.
If you need this publication in an alternate format, please call the Public Records Office at (360) 407-6040. Persons with
hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call (877) 833-6341.
ECY 010-37 (Rev. 3/18)