Borough of Stroudsburg

700 Sarah Street

Stroudsburg , PA 18360

Phone 570-421-5444

Fax 570-421-2690

 

RIGHT-TO-KNOW REQUEST FORM

 

DATE REQUESTED:___________________________

 

REQUEST SUBMITTED BY:      E-MAIL      U.S. MAIL      FAX      IN-PERSON

 

NAME OF REQUESTOR:________________________________________________________

 

STREET ADDRESS:_____________________________________________________________

 

CITY /STATE/ COUNTY (Required):________________________________________________________

 

TELEPHONE: _____________________________

 

RECORDS REQUESTED:

          *Provide as much specific detail as possible so the information can be identified

 

 

 

 

 

 

 

 

DO YOU WANT COPIES?   YES  or  NO

 

DO YOU WANT TO INSPECT THE RECORDS?   YES  or  NO

 

 

RIGHT-TO-KNOW OFFICER:

 

DATE RECEIVED:

 

FIVE (5) DAY RESPONSE DUE:

 

 *Public bodies may fill anonymous verbal or written requests.  If the requestor wishes to pursue the relief and remedies provided for in this Act, the request must be in writing.  (Section 702.)  Written requests need not include an explanation why information is sought or the intended use of the information unless otherwise required by law.  (Section 703.)

 

 

 

 

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