Request Date: Time Of Day Of Request:  
Name*: Organization (if applicable):
Mailing Address:
City: State: Zip:
Phone*: Email:  
Nature of Request*
Description of Records Requested*
If this request is for a list of individuals, will the information provided be used for commercial purposes?
Preferred Method of Receiving the Records Requested
Hard copies delivered by mail:   Digital copies on CD delivered by mail:   Digital copies delivered by email:  
Fax:      Fax Number: Review records in person at the college:  
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Questions? Please contact
As a state agency, Edmonds Community College is subject to the provisions of the Washington State public disclosure laws (RCW 42.46) governing access to public records and will respond accordingly.