Right to Know Request Form - Borough of Middletown, PA

Person Making Request

Name of Requester*

First Last

Company

(If applicable)

Email*

Phone

Address*

Street Address Address Line 2 City State ZIP Code

How do you prefer to be contacted if the agency has questions?*

Telephone

U.S. Mail

Your Request

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.

Do you want copies?*

Yes, electronic copies preferred if available

Yes, printed copies preferred

No, in-person inspection of records preferred (may request copies later)

Do you want certified copies of the records?*

Yes (may be subject to additional costs)

Please notify me if fees associated with this request will be more than*

$100

Other

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

Phone

This field is for validation purposes and should be left unchanged.