Valley Forge Sewer AuthorityRTK 12/24 Valley Forge Sewer Authority
Standard Right-to-Know Record Request Form
Date Requested: ________________
Request Submitted by: Email___ US Mail___ FAX___ In-person___
Name of Requestor: _______________________________________
Street Address: ________________________________________
City/State/Zip + County (Required):___________________________
Telephone :___________Fax:___________E-Mail:_______________
Description of Specific Records Requested: *Please provide as much specific
detail as possible so we can identify the information.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Do you want copies? YES___ NO___
Do you want to inspect the records? YES____ NO____
Do you want certified copies of records? YES____ NO____
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This section for agency completion
RIGHT TO KNOW OFFICER: Nicole DiEnno
DATE RECEIVED BY AGENCY:
AGENCY FIVE (5) DAY RESPONSE DUE:
**Public bodies may fill anonymous verbal or written requests. If the requestor wishes to pursue the relief
and remedies provided for in this Act, the request must be in writing. (Section 702.) Written requests need
not include an explanation why information is sought or the intended use of the information unless otherwise
required by law. (Section 703.)
Valley Forge Sewer Authority, 333 Pawling Road, Phoenixville PA P: 610-935-1553;
F: 610-983-9684; E-Mail: NDiEnno@vfsa.com