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KLICKITAT COUNTY PUBLIC RECORDS REQUEST INSTRUCTIONS 1. COMPLETE SECTION A OF FOLLOWING FORM. 2. RETURN COMPLETED FORM TO APPROPRIATE DEPARTMENT SECTION A – REQUESTOR/ RECORDS REQUEST INFORMATION Date: Name of person making request: If record(s) concern individual(s) other than requestor, please state name(s) Address: City: State: Zip Code: Phone Number: Email: I wish to: Inspect records Receive a copy of records Request made: in Person by fax by email by mail TITLE OF PUBLIC RECORD(S) DESCRIPTION DATE(S) OF RECORD(S) I UNDERSTAND THAT USE OF THE PHOTOCOPIES OF THE RECORDS RECEIVED AS LISTED ABOVE MAY BE SUBJECT TO THE RESTRICTIONS ON COMMERCIAL USE CONTAINED RCW 42.56.070(9). I AGREE TO PAY A REASONABLE STANDARD CHARGE OF $.15 PER COPY PLUS COST OF MAILING. SIGNATURE DATE E-MAIL ADDRESS For County Department/Office Use Only.