Standard Right-to-Know Law Request Form

Standard Right-to-Know Law Request Form

Good communication is vital in the RTKL process. Complete this form thoroughly and retain a copy; it may be required if an appeal is filed. You have 15 business days to appeal after a request is denied or deemed denied.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Company (If Applicable)
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Signature*

Clear
Telephone*
Please enter a valid phone number.
Fax
Please enter a valid fax number.
Records Requested*
Do you want copies?*

Yes, electronic copies preferred if availableYes, Printed CopiesNo, in-person inspection of records preferred (may request copies later)
Please verify that you are human*
NOTE: In most cases, a completed RTKL request form is a public record. More information about the RTKL is available at https://www.openrecords.pa.gov.
Should be Empty: