Schwenksville Right To Know Request Form

Standard Right-to-Know Law Request Form

Good communication is vital in the RTKL process. Complete this form thoroughly and retain a copy; it may be required if an appeal is filed. You have 15 business days to appeal after a request is denied or deemed denied.
SUBMITTED TO AGENCY NAME *
Date of Request *

Month Day Year
Date
Submitted via *

Email U.S. Mail Fax In Person
PERSON MAKING REQUEST:
Name *
Company (if applicable) *
Mailing Address *
City *
State *
Zip *
Email *
example@example.com
Fax
Fax
How do you prefer to be contacted if the agency has questions? *

Telephone Email U.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 if none are checked) Yes, electronic copies preferred if available No, in-person inspection of records preferred (may request copies later)
Do you want certified copies? (RTKL requests may require payment or prepayment of fees. See the Official RTKL Fee Schedule for more details.) *

Yes No
Official RTKL Fee Schedule
Please notify me if fees associated with this request will be more than $100
Tracking

30-Day Ext.?
Tracking
Date Received

Month Day Year
Date
Response Due (5 bus. days)
Actual Response Date

Month Day Year
Date
Request was

Granted Partially Granted & Denied Denied
Appropriate third parties notified and given an opportunity to object to the release of requested records.
Cost to Requester
NOTE: In most cases, a completed RTKL request form is a public record. More information about the RTKL is available at https://www.openrecords.pa.gov
Should be Empty:

Standard Right-to-Know Law Request Form

Good communication is vital in the RTKL process. Complete this form thoroughly and retain a copy; it may be required if an appeal is filed. You have 15 business days to appeal after a request is denied or deemed denied.

PERSON MAKING REQUEST: