Standard Right-to-Know Law Request Form Completed Form Examples and Samples
View detailed examples and completed samples of the Standard Right-to-Know Law (RTKL) Request Form. Learn how to properly fill out the form to successfully request public records, with clear, practical samples for various scenarios.
Standard Right-to-Know Law Request Form Example - Citizen Requesting Public Records
How this form was filled:
This example shows a completed Standard Right-to-Know Law (RTKL) Request Form. It details a request made by a citizen to a local township for the minutes of a specific public meeting. Key sections filled out include the requestor's contact information, the agency name, a precise description of the records sought, and the preferred format for receiving the documents.
Information used to fill out the document:
- Requestor Name: Maria Garcia
- Mailing Address: 456 Oak Avenue, Anytown, PA 18001
- Telephone: (555) 867-5309
- Email: [email protected]
- Request Submitted To: Anytown Township Open Records Officer
- Agency Address: 123 Municipal Drive, Anytown, PA 18001
- Date of Request: 01/22/2026
- Records Requested: A complete copy of the approved meeting minutes for the Anytown Township Board of Supervisors meeting held on December 5, 2025.
- Requested Format: Electronic (PDF)
- Delivery Method: Email
- Signature: Maria Garcia
What this filled form sample shows:
- Clearly identifies the requestor with complete contact information.
- Precisely names the government agency to which the request is directed.
- Provides a specific and concise description of the public records, including the meeting type and date, to prevent delays or denial.
- Indicates a modern and efficient delivery preference by requesting records in electronic format via email.
- Includes a signature and date to formalize the request and establish the statutory response timeline.
Form specifications and details:
| Form Name: | Standard Right-to-Know Law Request Form |
| Use Case: | A citizen requesting public meeting minutes from a local municipal government. |
| Jurisdiction: | State-level (Example based on Pennsylvania's RTKL form) |
| Purpose: | To formally request access to public records from a government agency as guaranteed by law. |
Created: February 05, 2026 08:55 PM
