2010 TOWN OF CHARLESTOWN
INFORMATION REQUEST FORM


 Applicant:
  Name:   *  
  Address:   *  
          Street
   *   *   *  
          City        State        Zip Code
  Phone No:   (H)   *         (W)  
  E-Mail:   *  
 Information Requested:
  Please be specific:  *
  


In accordance with the Annoteted Code of Maryland, Town of Charlestown will charge $0.25 per copy. If the request for information exceeds two hours of staff time, a charge of $10.00 per hour will be added to the cost. We will contact you when the information is ready to be picked up. Payment for copies is required upon receipt.

Requests will be processed in a timely manner. However, in accordance with the Annotated Code, the Town has 30 days to provide the information. All requests for information will be approved before being released. Unaudited financial reports will not be released unless approved by formal motion by the Board.

I have read the aformentioned information and agree to pay all associated costs. I understand the Town has rights to deny information in accordance with the Annotated Code of Maryland.
*  AGREE     DISAGREE