Public Records Request Form
Full Name
Street Address
P.O. Box
 City, ST
Zip Code
 Phone Number
It is the intent of the Township to comply in all respects with the Pennsylvania Right to
Know Law.  In order to process a request for inspection and/or duplication of a public
record, the Township needs sufficient and specific information to identify the record.  
The Township may deny a request if there is inadequate information for the
Township to identify the specific record requested.  Please provide as much of the
following requested information as possible:
Type of document (e.g. ordinance, resolution, meeting minutes, etc.):
Subject of document (e.g. sewage system ordinance, building permit for a specifically
identified property, Zoning Hearing Board decision, etc.):
Approximate date or dates of documents (give date range):
Please state any other information which you believe would assist the Township in
identifying the public record which you seek:
I wish to examine this public record at the Township office:
 Yes
No
I wish to obtain a copy of this public record (fees apply):
 Yes
No
Unless otherwise requested, the Township will provide paper photocopies of public
records.  The Township does not guarantee a requested record is available or can
be made available in any other format.
I wish a copy of the public record be provided as follows, if possible:
If "Email" was selected, please provide Email address:
If "Facsimile" was selected, please provide fax phone number:
I wish the Township to mail a copy of this public record to me:
 Yes
No
I wish the public record to be
mailed to the following address:
PLEASE READ BEFORE HITTING "SUBMIT"
I acknowledge that the Township will charge a fee to recover its cost incurred in
the review of the files, the duplication of public records, and the mailing of
public records.  I acknowledge that the Township does not have to provide me
with the copies (if any) I have requested until I pay the fee in full.
To formally request the inspection and/or duplication of a public record,
complete the form below or click here for a form that can be downloaded
and printed as needed.
For information on records request fees, please click here.
Public Records Request
West Nottingham Township