Type Full Name :
Sign With Hand
Do you want copies? *
Copies: $0.25 (25 cents) per page for reproduction. (2 sided copies count as 2 pages).

Certification of a Record: $1.00 per record, not per page. Please note that certification fees do not include notarization fees.

Prepayment: Prior to granting a request for access in accordance with this Act, the County may require a requester to prepay an estimate of the fees authorized under this section if the fees required to fulfill the request are expected to exceed $100.

Other fees cannot be determined prior to reviewing the request. These fees include:
• Specialized documents (complex data sets, GIS data, property assessment lists)
• Facsimile/Microfiche/Other Media
• Redaction Fee
• Postage Fees
• Statutory Fees
• Enhanced Electronic Access
• Waiver Of Fees
Other fees may be imposed if the County necessarily incurs costs for complying with the request.

Please see section 8 FEES of the attached County of Lycoming RTK Policy.pdf for more details about these other fees https://www.lyco.org/Portals/1/Commissioners/RTK/POLICY%201300.pdf

Acceptable forms of payment: cash and check - make check payable to County of Lycoming

Do you want certified copies of records? *
Pennsylvania Right-to-Know Law
The Pennsylvania Right-to-Know Law can be found at https://www.openrecords.pa.gov/Documents/RTKL/PA_Right-To-Know_Law.pdf
Requestor
City *
By checking this box, I affirm that my full name and contact information is true and correct, and that I am a legal resident of the United States. I understand that failure to check this box may result in the denial of my request and the dismissal of any appeal filed with the Office of Open Records.
Request
Ext.
State *
Address
Review Lycoming County's Policy and procedures at https://www.lyco.org/Portals/1/Commissioners/RTK/POLICY%201300.pdf
Do you want to inspect the records in person? *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(570) 320-2124
{[AWEBSITE]}
If available, how would you like the records delivered? *
Right-to-Know Request
Last Name *
Certification
Fee Schedule
ZIP *
Do you want to be notified in advance if the cost exceeds $100? *
Lycoming County Policy and Procedures
Phone # *
If your request is related to a property, please specify the address
County *
Please be as specific as possible in describing the records being requested *
Company Name
First Name *
Records shall be provided in the medium requested if they exist in that medium; otherwise, they shall be provided in the medium in which they exist. See Section 701. Your request may require payment or prepayment of fees. View the Official RTKL Fee Schedule for more details.
Fax #
Signature *
Email *