4112.6 / 4212.6
Form B
PERSONNEL
Litchfield Public Schools
OBJECTION TO DISCLOSURE OF RECORDS
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: _____________________________________________________________________
(specify)
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