Date Requested:

Fax

Mail

E Mail

Name of Requestor

Address

City, State, Zip

Telephone

Fax

E Mail

Records Requested

Do You Want Copies?

yes no

Do You Want To Inspect the Records?

yes no

yes no

Provide as much specific detail as possible so the Township can identify the records.

Do You Want Certified Copies of the Records ?

Standard Right to Know Request Form

Request Submitted By:

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).

Amity Township
2001 Weavertown Rd.
Douglassville, PA 19518
610-689-6000