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Office of Open Records
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Home » Office of Open Records » Request for Public Record

Open Records On-line Request Form

Date Requested:

Name of Requestor:

Street Address:

City/State/County

Telephone:

E-mail Address:

Fax:

Records Requested (provide as much specific detail as possible):

Do you want copies?

Yes
No

Do you want to inspect the records?

Yes
No

Do you want certified copies of the records?

Yes
No

Word verification:
Type the characters you see in the picture below; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

EASTERN CENTER FOR ARTS AND TECHNOLOGY
3075 Terwood Rd. Willow Grove, PA 19090
215-784-4800 / 215-784-4801 (fax)