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Home > PA Right To Know

Upper Dauphin Area School District Right-to-Know Request Form

PLEASE READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM. A PROPERLY COMPLETED FORM SUBMITTED TO THE SCHOOL DISTRICT WILL BE CONSIDERED A WRITTEN REQUEST FOR PURPOSES OF THE RIGHT-TO-KNOW LAW, 65 P.S.§ 67.101 et seq

Section 1 - Requestor Information

Last Name:
First Name:
Middle Initial:
Address:	(Street Name and Number)
City:
State:
Zip Code:
Telephone Number:	(##########, no punctuation or spaces, optional)
E-mail Address:	(optional)
Request Date:	7/29/2010 9:23:24 PM
The Right-to-Know Law provides the Requester Must Be a Legal Resident of the United States.

Section 2 - Description of Record(s) Requested

Section 3 - Inspection, Copying or Certified Copy of Public Records

Please check each box applicable to your request.

Inspection of Documents

Copy Documents (25 ¢ charge per page)

Certified Copies of Documents ($1.00 flat fee plus 25 ¢ per page)

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