Requesting information from state/county agencies

1. Fill in the addressee's name and title.
Name:
Title:

2. Select the state/county agency from which you are requesting information.

If the organization you are writing to is not in the list, please enter the information for them below:
Organization name:

Address:



Phone: Fax:

3. Describe the information you are seeking.

4. Automatically generate the graph below: Yes No

"This request is made under the state Uniform Information Practices Act (Modified), Chapter 92F, Hawaii Revised Statutes. The act seeks to protect the public interest by ensuring that governments records be made available to the public unless restricted or closed by law."

5. Automatically generate the graph below: Yes No

"As a member of the media, I am requesting waiver of the record processing fees as provided in 2-71-32 of the Hawaii Administrative Rules. The rules allow such waivers if the requester intends to widely disseminate information from the record to the public at large."

6. Automatically generate the graph below: Yes No

"I appreciate your agency's help and look forward to your earliest possible response within the time period provided under state law. Please contact me at the number below if you have any questions regarding my request."

7. Fill in your name, address, phone and email address.
Name:

Title:

Address line1:


Phone number:

Email address: