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Right-To-Know Request Form

2. Date Requested
   Date Requested
4. Name of Requestor
5. Company (if applicable)
7. Mailing Address
9. City*
10. State*
11. Zip*
13. Email Address*
    Required if information is to be emailed.
14. Telephone Number
16. Preferred Method of Contact*

    1. Email
    2. Fax
    3. U.S. Mail
18. 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. Use additional sheets if necessary. 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.
20. Do you want copies?

    1. Yes, electronic copies preferred if available
    2. Yes, printed copies preferred
    3. No, in-person inspection of records preferred (may request copies later)
22. Do you want certified copies of records?

    1. Yes
    2. No

    RTKL requests may require payment or prepayment of fees. See the Official RTKL Fee Schedule for more details at https://www.openrecords.pa.gov/RTKL/FeeStructure.cfm.
24. Cost Notification

    1. Please notify me if fees associated with this request will be more than $100 or an amount I designate
25. Amount
    Cost Notification Custom Amount, if applicable
29. Right-To-Know Officers
    Joel Capellupo (Township Records) 610-929-4727 210 George Street Reading, PA 19605 Lorie Ferraro (Police Records) 610-929-5454 210 George Street Reading PA 19605
31. Privacy
    Public bodies may fill anonymous verbal or written requests. If the requester 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).
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field