Public Records Request Online Form – Mason County Public Hospital District 2

Public Records Request - Online Form

Please allow 5 business days for response to your request RCW42.56.520

Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone(Required)

Fax

Requested Records(Required)

Please describe what records you are looking for with names and dates if possible.

How would you like us to provide the records ?(Required)

Mail

Email (If available in electronic form)

I will pick the record(s) up at your office during regular working hours

I would like to inspect the record(s) at no charge at your office during regular working hours

Consent / Understanding to RCW's Listed.(Required)

I agree and understand the text and RCWs listed below.

Please allow 5 business days for response to your request RCW42.56.520
I agree to pay all copy charges (if applicable) per RCW 42.56.120
I certify the information obtained through this rerquest will not be used for commercial purposes RCW 42.56.070(9)

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