State of Emergency

Mailbox Policy

Emergency Information

Right To Know Form

Pension Act 44 Compliance

EARL TOWNSHIP
STANDARD RIGHT-TO-KNOW REQUEST FORM

DATE REQUESTED: 

REQUEST SUBMITTED BY:           E-MAIL            U.S. MAIL       FAX     IN-PERSON 
           
NAME OF REQUESTOR :______________________________________

STREET ADDRESS         :_____________________________________________

CITY
/STATE/COUNTY (Required): __________________________________________

TELEPHONE (Optional):___________________________________________________

FAX (Optional): __________________________________________________________

RECORDS REQUESTED:





*Provide as much specific detail as possible so the agency can identify the information.

DO YOU WANT COPIES?  YES or NO

DO YOU WANT TO INSPECT THE RECORDS?  YES or NO

DO YOU WANT CERTIFIED COPIES OF RECORDS? YES or NO
____________________________________________________________________________

RIGHT TO KNOW OFFICER:     Brenda S Becker

DATE RECEIVED BY THE AGENCY:

AGENCY FIVE (5)-DAY RESPONSE DUE:

**Public bodies may fill anonymous verbal or written requests.  If the requestor wishes to pursue the relief and remedies provided for in this Act, the request must be in writing.  (Section 702.)
Written requests need not include an explanation why information is sought or the intended use of the information unless otherwise required by law.  (Section 703.)