[Date]
[Name and address of Right to Know Officer (specified in agency R2K rules)]
Dear _______:
Please consider this an official written request for information from the [name of agency]. I would like to examine and inspect [and/or obtain copies or extracts of ] the following documents:
[List individually the documents you wish to examine, inspect or copy. Be as specific as possible.]
I believe the above documents constitute public records pursuant to Pennsylvania's Right to Know Law, 65 P.S. §§ 66.1 et seq. You may contact me at [address and telephone number] regarding arrangements for the disclosure of the information.
If you decide to refuse this request, please provide me with a written statement of the reasons for denial. If your denial is based upon a statute, regulation or court decision, please cite that law or case, including the specific section or sections you rely upon, in your written response.
I look forward to the [name of agency] making this information available to me within (5 business days for local agencies; 10 business days for Commonwealth agencies).
Sincerely,
[Name]
[Address]
