Commercial Purpose Declaration

Print
Share & Bookmark, Press Enter to show all options, press Tab go to next option

Please correct the fields below:

Public Records Requests under RCW 42.56 for Lists of Individuals

You or your organization or business has requested records containing a list of individuals from a public agency. The Washington State Public Records Act at RCW 42.56.080 authorizes agencies to require a requester to provide information as to the purpose of a request “to establish whether inspection and copying would violate RCW 42.56.070(8).”  This provision of the Act expressly precludes the City from providing “lists of individuals requested for commercial purposes.”

The Washington State Court of Appeals ruled that in responding to a public records request that includes a list of individuals, an agency must investigate if that list might be used for commercial purposes, in order to comply with the obligations of RCW 42.56.070(8). SEIU Healthcare 775NW v. State, 193 Wn. App. 377, 377 P.3d 214 (2016). The Court also established some guidelines for what information may be requested by the City.

 

Instructions: In order to ensure compliance with this obligation please complete the following declaration and return it to the Public Records Officer. If the City does not receive a completed declaration by thirty (30) days from the date it was requested, the City will be unable to process your request for records and your request will be administratively closed. If the City has questions regarding your completed declaration, the City will contact you. This declaration is a public record.



1. I acknowledge that the records I am requesting from the City of Shoreline contain a list of individuals.
Public Records Request Reference Number: (found on the email from the City regarding this form)

2. I am requesting records containing a list of individuals on behalf of: (specify which one applies)

 *
2. I am requesting records containing a list of individuals on behalf of: (specify which one applies)
3. If on behalf of an Organization or Business, please complete the following:
Name of Business/Organization:
Purpose of Business/Organization:
Mailing Address of Business/Organization:
Business/Organization Phone Number:
Business/Organization Website:

4. The purpose in making this request for records containing a list of individuals is:
 *

5. I or the organization/business intend to generate revenue or financial benefit from using the list of individuals:

Generating revenue or financial benefit includes an intent to solicit money or financial support; an intent to make individuals aware of businesses or business/financial opportunities; supply or selling the list to another individual, organization, or business.

 *
5. I or the organization/business intend to generate revenue or financial benefit from using the list of individuals: Generating revenue or financial benefit includes an intent to solicit money or financial support; an intent to make individuals aware of businesses or business/financial opportunities; supply or selling the list to another individual, organization, or business.
6. I or my organization/business attest that another law authorizes or directs the agency to provide me or my organization/business the list of individuals requested:     
6. I or my organization/business attest that another law authorizes or directs the agency to provide me or my organization/business the list of individuals requested:
  • If yes, provide specific citation:

I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. I certify under penalty of perjury that I have read this declaration form and I understand that a list of individuals cannot be provided to me or to my organization or business by the City of Shoreline if the list will be used for a commercial purpose. I certify under penalty of perjury that any list of individuals I or my organization or business receive pursuant to this request to the City of Shoreline will not be used for any commercial purpose in violation of RCW 42.56.070(8).
7. I permit the use of my electronic signature for this Declaration. 
 *
7. I permit the use of my electronic signature for this Declaration.
Signature of Declarant:
 *
Declarant's Title: (if any)
Declarant's Contact Information: (phone or email, or both)
Declarant's Contact Information: (phone or email, or both)
  1. To receive a copy of your submission, please fill out your email address below and submit.