Right-to-Know Requests

Right-To-Know Requests
Good communication is vital in the RTKL process. Complete this form thoroughly and retain a copy; it may be required if an appeal is filled. You have 15 business days to appeal after a request is denied or deemed denied.
Submitted to Agency Name:
Date Submitted:

MonthDayYear
Date
Submitted via:

WebsiteEmailU.S. MailFaxIn Person
Full Name

First NameLast Name
Address*

Street Address

Street Address Line 2

City/TownState

Zip CodeCountry
Email Address*
Must be a valid email address
Daytime Phone Number
Please enter a valid phone number.
How do you prefer to be contacted if the agency has questions?

TelephoneEmailU.S. Mail
RECORDS REQUESTED: Be clear and concise. Provide as much specific detail as possible, ideally including subject matter, time frame, and type of record or party names. 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. Use additional pages if necessary.
Do you want copies?

Yes, printed copies (Default)Yes, electronic copies preferred if availableNo, in-person inspection of records preferred (may request copies later)
Do you want certified copies?

Yes (may be subject to additional costs)No
Payment or Prepayment

RTKL requests may require payment or prepayment of fees. See the Official RTKL Fee Schedule for more details.
Please notify my if fees associated with this request will be more than:

$100Other
Please verify that you are human*
Should be Empty:

Payment or Prepayment