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Public Records Request Online Form

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Public Records Request

This is a form you can complete online and then email directly to the appropriate staff member at the City of Kalama. If you would prefer to print and complete the form to send to the City offices click here

Please correct the field(s) marked in red below:

This is the official form for requesting public records from the City of Kalama under RCW 42.56.

Please provide detailed and specific information as to the public records you are requesting from the City.  Having specific information will help the City to respond in a timely manner to your request.  Unclear requests will require additional information prior to the City making a determination on whether the records are releaseable and how long it will take for the City to provide the records requested.  

Please Note: (*) indicates required fields.

1
Contact Information
 *
2

Nature of Request

 *
3

Is the information to be used for a commercial purpose?

 *
4

Signature

KALAMA PUBLIC RECORDS ACCESS

DECLARATION TO RELEASE PUBLIC RECORDS

________________________________________________________________

(PRINT NAME)

1. I have requested copies of the following public records:

________________________________________________________________

________________________________________________________________

2. I understand that Washington State law, RCW 42.17.260(9), prohibits the use of lists of individuals for commercial purposes.

3. I understand that the use for commercial purposes of said records may also violate the rights of the individuals named therein and may subject me to liability for such commercial use.

4. I understand that section 2 and 3 herein apply when I use said records for commercial purposes and  when others use said records or copies for same for commercial purposes. I understand that I may be liable in either case.

5. I understand that commercial purposes means that the person requesting the record intends that the list will be used to communicate with the individuals named in the record for the purpose of facilitating profit expecting activity.

6. Therefore, I do hereby swear and affirm on oath and under penalty of law that I will not use said records for commercial purposes and that further, it is my affirmative duty to prevent others from using said records for commercial purposes.

7. I do further swear and affirm on oath and under penalty of law that I will protect and hold harmless, including the costs of defending, the agency and its agents and employees from which I have obtained said records from any and all claims arising either directly or indirectly from the commercial use of said records.

__________________________________                __________________________________

Signature                                                                      Date

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