Policy Details

4112.6 and 4212.6 FORM B Objection to Disclosure of Records

4112.6 / 4212.6

Form B


Litchfield Public Schools


This is a notice of formal objection to the disclosure of the personnel records of [name of employee] as described in the notice dated [date of notification memo] of a request for those records under the Freedom of Information Act. I have reason to believe that the disclosure of:

_________ all the requested records

_________ the following records only: _____________________________________________________________________

will constitute an invasion of the employee's personal privacy. Under penalty of false statement, I declare that, to the best of my knowledge and belief, there is good ground to support the objection and the objection is not made for delay.

____________________________________________________ _________________________
(Signature of Employee or (Date)
Collective Bargaining Representative)

Litchfield Board of Education
Form Adopted: February 23, 2011

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