pennsylvania OFFICE OF OPEN RECORDS  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 aftera a request is denied or deemed denied.  SUBMITTED TO AGENCY NAME: Date ofl Request:. PERSON MAKING REQUEST: Name:. Mailing Address: City:. Telephone:  (Attn: AORO)  Submitted via: Email DU.S.Mail OFax OInPerson  Company (ifapplicable):  State:  Zip:.  Email: Fax:  How do you prefert to be contacted ift the agency has questions? Telephone D Email D U.S. Mail RECORDS REQUESTED: Be clear and concise. Provide as much specific detail as possible, ideally including subject matter; time frame, and type ofrecord or party names. RTKL requests should: seek records, not ask questions. Requesters arel not required to explain why the records are: soughtort thei intended: use ofthe recordsunless otherwise required byl law.  Use additional pages ifnecessary.  DO YOU WANT COPIES? OYes, printed copies (default ifnone are checked) Doy you want certified copies? D Yes (may be subject to additional costs) ON No  D Yes, electronic copies preferred ifavailable  ONo,i in-personi inspection of records preferred (may request copies later)  RTKL requests may require payment or prepayment offees. See the Official RTKL Fee Schedule formore details. Please notify me: iffees associated with this request willl be more than D $100 (or) O$  ITEMS BELOW THISI LINE FOR AGENCY USE ONLY  Tracking:  Date Received:  Response Due (5 bus. days): Actual Response Date:  30-Day Ext.? D Yes D No (IfYes, Final Due Date:.  Request was: D Granted 0 Partially Granted & Denied DD Denied Cost to Requester:$_  DAppropriate third parties notified and given an opportunity to object to the release ofi requested records.  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  Form updated Feb.: 3,2020