Derry, PA · Westmoreland County
Right to Know Request Form
Use this form to request public records from a government agency; the requester provides contact details and describes the records sought.
What this form is
This form lets a person request records under the Right-to-Know Law by naming the agency and describing the records, including their subject matter, time frame, and type. It asks for requester contact details, preferred response and contact methods, copy or inspection preferences, and fee notification preferences. The form says requests must seek records, not ask questions, and notes that a request may require payment or prepayment.
Who needs it
Anyone seeking records from a government agency can complete the form with their contact information and a description of the records requested.
How to submit it
Submit the completed form to the agency named on it by email, U.S. mail, fax, or in person. The form also asks how the agency should send its response.
About notarization
No notary is required; complete the affirmation and request details, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download the Form
Download the Right to Know Request Form and keep a copy of both pages.
- 2
Complete the Request
Enter your contact details, name the agency, describe the records sought, and choose response and copy preferences.
- 3
Gather Additional Pages
Use additional pages if needed to describe the records, and retain a copy of both pages of the form.
- 4
Submit to the Agency
Send the form to the named agency by email, U.S. mail, fax, or in person.
Frequently asked questions
- What is the Right to Know Request Form for?
- It lets a requester ask a government agency for records, with details about the records sought and preferences for receiving or inspecting them.
- Who can use this form?
- A person seeking records can complete the form. It requests the person's name and contact information and includes an affirmation about the accuracy of that information and legal U.S. residency.
- Do I need a notary for the Right to Know Request Form?
- No. The form has an affirmation but no notary block; it lists no notarized attachment or sworn step.
- How do I submit the Right to Know Request Form?
- Name the agency and submit the completed form by email, U.S. mail, fax, or in person. The form also asks how you want the agency to send its response.