Public Records Request

1
Describe the record(s) you are requesting below. Please provide any and all information that will help us locate the record(s) quickly, and be as specific as possible.* This field is required.
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2
Please select the following:* This field is required.
I would prefer the record(s) provided electronically without inspection first
I would prefer the record(s) provided in hard copy without inspection first
I would like to inspect the record(s) prior to copying or scanning
3
Washington State law [RCW 42.56.070(8)] prohibits the disclosure and use of lists of individuals for commercial purposes. Signing on the next card certifies that if you use, or allow others to use, such records for commercial purposes, you may violate the rights of the individuals listed and may be liable for damages.

"Commercial purposes" means that the person requesting the record(s) intends that the list will be used to communicate with the individuals named in the record(s) for the purpose of facilitating profit-expecting activity.
4
I understand that by entering my First and Last name in this box which constitutes a legal signature, that I have read and acknowledge the previous disclosure prohibiting the use of lists of individuals for commercial purposes.* This field is required.
First Name
Last Name
5
Please select how you would like to be contacted* This field is required.
Email
Phone
Postal mail
Fax
6
Email
example@example.com
7
Phone Number
Please enter a valid phone number.
8
Address
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
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State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
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Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
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Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
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Kyrgyzstan
Laos
Latvia
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Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
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Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
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Moldova
Monaco
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Montenegro
Montserrat
Morocco
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
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Netherlands Antilles
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Nigeria
Niue
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Northern Mariana
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Romania
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Rwanda
Saint Barthelemy
Saint Helena
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Samoa
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Senegal
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South Ossetia
South Sudan
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eSwatini
Sweden
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Tajikistan
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Other
Country
9
Fax Number
Please enter a valid fax number.
10
Please verify that you are human* This field is required.
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