PLEASE NOTE: THIS FORM IS A PUBLIC RECORD AND MAY BE DISCLOSED BY THE CITY IF REQUESTED.
Confidentiality Preference: If you believe that disclosure of your identity would threaten your safety or property, you may request that your identity not be disclosed under RCW 42.56.240(2). Be advised, your request is not a guarantee that your identity will be protected from disclosure. Disclosure of information revealing your identity will depend on a number of factors including
Chapter 42.56 RCW (the Public Records Act), other applicable laws, and whether the complainant is criminally prosecuted. With that understanding, PLEASE INDICATE YOUR DESIRE FOR DISCLOSURE OR NON-DISCLOSURE OF YOUR
IDENTITY BY CHECKING THE APPROPRIATE BOX, AND SIGN AND DATE BELOW: