Exhibit A

Public Records Request

Please submit this form to: Wasco County Administrative Office

511 Washington Street, Suite 101

The Dalles, OR 97058

Unless the records are immediately available, a form will be sent to you indicating what records are available. Pursuant to ORS 192.440, a public body may charge reasonable fees to make records available as well as reproduction charges, if applicable. You will be provided a written estimate if the cost may exceed $25.00.

All fees or deposits must be paid prior to accessing the records.

Name:

Address:

City, State & Zip Code:

Phone Number:	Email:

Note: State and federal law prohibits disclosure of certain records and permits; certain public records to be withheld from disclosure.

Records Requested: Describe the records as specifically as possible, including relevant dates, subject matter and type of record.

Click here to enter text.