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216.157.112.141
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URL:
https://www.openrecords.pa.gov/Appeals/DIPRequest.cfm
Submission: On August 29 via api from US — Scanned from DE
Submission: On August 29 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST /SearchResults.cfm
<form class="form form-inline" action="/SearchResults.cfm" method="post">
<div class="input-group input-group-xs">
<input type="text" class="form-control input-sm" id="header-search" name="siteSearch" placeholder="Search">
<span class="input-group-btn">
<button type="submit" class="btn" id="btn-header-search"><i class="fa fa-search"></i></button>
</span>
</div>
</form>
Name: dipForm — POST
<form class="form form-horizontal" id="dipForm" name="dipForm" method="post" enctype="multipart/form-data" novalidate="novalidate">
<div class="form-group">
<label class="col-sm-2 control-label">Docket #:</label>
<div class="col-sm-2">
<input type="text" class="form-control" id="docket" name="docket" value="" maxlength="9">
</div>
<div class="col-sm-8 fieldError" id="docketError" style="display: none;">
<p class="form-control-static"><i class="fa fa-lg fa-exclamation-triangle"></i> <span id="docketErrorMsg"></span></p>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Name:</label>
<div class="col-sm-4">
<input type="text" class="form-control" id="firstName" name="firstName" placeholder="First Name" maxlength="100">
</div>
<div class="col-sm-4">
<input type="text" class="form-control" id="lastName" name="lastName" placeholder="Last Name" maxlength="100">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Type:</label>
<div class="col-sm-2">
<select class="form-control" id="type" name="type">
<option value="personal">Personal</option>
<option value="organization">Organization</option>
</select>
</div>
<div class="col-sm-6" id="type-org">
<input type="text" class="form-control" id="organization" name="organization" value="Personal" placeholder="Organization" maxlength="250">
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-2 col-sm-10">
<div class="alert alert-info mb0">
<h4 id="publicRecord">Public Record Notice</h4> All filings with the OOR will be public records and subject to public access with limited exception. If you do not want to include personal contact information in a publicly accessible record,
please provide alternate contact information in order to receive future correspondence related to this appeal.
</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Address:</label>
<div class="col-sm-5">
<input type="text" class="form-control" id="address1" name="address1" placeholder="Address 1" maxlength="250">
</div>
<div class="col-sm-5">
<input type="text" class="form-control" id="address2" name="address2" placeholder="Address 2" maxlength="250">
</div>
</div>
<div class="form-group">
<div class="col-sm-2 col-sm-offset-2">
<input type="text" class="form-control" id="city" name="city" placeholder="City" maxlength="100">
</div>
<div class="col-sm-3">
<select class="form-control select2-hidden-accessible" id="state" name="state" tabindex="-1" aria-hidden="true">
<option value=""></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 262.5px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-labelledby="select2-state-container"><span class="select2-selection__rendered" id="select2-state-container"><span class="select2-selection__placeholder">State</span></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-sm-2">
<input type="text" class="form-control" id="zip" name="zip" placeholder="Zip" maxlength="10">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Email:</label>
<div class="col-sm-5">
<input type="email" class="form-control" id="email" name="email" maxlength="250">
</div>
<div class="col-sm-5 fieldError" id="emailError">
<p class="form-control-static"><i class="fa fa-lg fa-exclamation-triangle"></i> <span id="emailErrorMsg"></span></p>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Phone #:</label>
<div class="col-sm-3">
<input type="text" class="form-control" id="phone" name="phone" maxlength="15">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Comments:</label>
<div class="col-sm-10">
<textarea class="form-control" id="comments" name="comments" rows="4" maxlength="10000"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Attach Files:</label>
<div class="col-sm-10">
<style type="text/css">
.file-container {
margin-bottom: 5px;
}
.kv-caption-icon {
margin-right: 5px;
}
.file-info {
margin-top: 5px;
}
</style>
<script type="text/javascript">
var maxFiles = 10;
var maxFileSize = 25;
var fileCounter = 2;
// IE does not support the rtf mime type in the accept attribute of a file input. Instead, append the file extention to catch .rtf files.
function getFileInputMimeTypes() {
var mimes =
'application/pdf,application/msword,application/vnd.openxmlformats-officedocument.word,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/rtf,application/x-rtf,text/plain,application/vnd.ms-excel,application/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application/vnd.ms-powerpoint,application/vnd.openxmlformats-officedocument.presentationml.presentation,image/jpeg,image/png,image/gif,image/bmp,image/tiff';
var isIE = !!navigator.userAgent.match(/Trident/);
return (isIE) ? mimes + ',.rtf' : mimes;
}
function getFileCount() {
return $('.file-container').length;
}
function removeEmptyFiles() {
$('.file-attachment').each(function(i, el) {
if (!$(el).val()) {
removeFile({
target: el
});
}
});
}
function removeFile(e) {
var id = e.target.id;
if (getFileCount() > 1) {
if ($.validator) {
$('#' + id).rules('remove');
}
$('#container-' + id).remove();
}
}
function setupFileinput(id) {
$('#' + id).attr('accept', getFileInputMimeTypes());
if ($.validator) {
$('#' + id).rules('add', {
accept: 'application/pdf,application/msword,application/vnd.openxmlformats-officedocument.word,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/rtf,application/x-rtf,text/plain,application/vnd.ms-excel,application/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application/vnd.ms-powerpoint,application/vnd.openxmlformats-officedocument.presentationml.presentation,image/jpeg,image/png,image/gif,image/bmp,image/tiff',
messages: {
accept: 'Invalid file attachment. Allowed file types: pdf, doc, docx, rtf, txt, xls, xlsx, ppt, pptx, jpg, png, gif, bmp, tiff.'
}
});
}
$('#' + id).fileinput({
showPreview: false,
showUpload: false,
removeClass: 'btn btn-danger',
removeTitle: 'Remove file'
});
$('#' + id).on('filecleared', removeFile);
$('#' + id).on('change', function(e) {
var files = e.currentTarget.files;
for (var x = 0; x < files.length; x++) {
var f = files[x];
// check for invalid characters in the filename
if (f.name.match(/[\\\/\:\*\?\<\>\|"\u2026]/g)) {
$('#' + id).fileinput('clear');
_alert('The file <b>' + f.name + '</b> contains one or more invalid characters (\\ / : * ? " < > | …). Please remove them from the file name on your computer and try again.', 'File Error', BootstrapDialog.TYPE_DANGER);
continue;
}
if (f.size === 0) {
$('#' + id).fileinput('clear');
_alert('The file <b>' + f.name + '</b> is empty.', 'File Error', BootstrapDialog.TYPE_DANGER);
}
var filesize = ((f.size / 1024) / 1024).toFixed(2); // MB
if (filesize > maxFileSize) {
$('#' + id).fileinput('clear');
_alert('The file <b>' + f.name + '</b> exceeds the maximum allowed file size of <b>' + maxFileSize + 'MB</b>', 'File Error', BootstrapDialog.TYPE_DANGER);
}
}
});
}
$(function() {
setupFileinput('file_1');
$('#file-add').click(function() {
if (getFileCount() < maxFiles) {
var nextID = 'file_' + fileCounter;
var inputHTML = '<div class="file-container" id="container-' + nextID + '">' + '<input type="file" class="file-attachment" id="' + nextID + '" name="files">' + '</div>';
$('#file-attachments').append(inputHTML);
setupFileinput(nextID);
fileCounter++;
} else {
_alert('The maximum number of file attachments has been reached (' + maxFiles + ').');
}
});
$('#file-deleteAll').click(function() {
$('button.fileinput-remove-button').click();
});
});
</script>
<div id="file-attachments">
<div class="file-container" id="container-file_1">
<div class="file-input file-input-new">
<div class="kv-upload-progress hide">
<div class="progress">
<div class="progress-bar progress-bar-success progress-bar-striped active" role="progressbar" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100" style="width:0%;"> 0% </div>
</div>
</div>
<div class="input-group ">
<div tabindex="500" class="form-control file-caption kv-fileinput-caption">
<div class="file-caption-name"></div>
</div>
<div class="input-group-btn">
<button type="button" tabindex="500" title="Remove file" class="btn btn-danger fileinput-remove fileinput-remove-button"><i class="glyphicon glyphicon-trash"></i> <span class="hidden-xs">Remove</span></button>
<button type="button" tabindex="500" title="Abort ongoing upload" class="btn btn-default hide fileinput-cancel fileinput-cancel-button"><i class="glyphicon glyphicon-ban-circle"></i> <span class="hidden-xs">Cancel</span></button>
<div tabindex="500" class="btn btn-primary btn-file"><i class="glyphicon glyphicon-folder-open"></i> <span class="hidden-xs">Browse …</span><input type="file" class="file-attachment" id="file_1" name="files"
accept="application/pdf,application/msword,application/vnd.openxmlformats-officedocument.word,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/rtf,application/x-rtf,text/plain,application/vnd.ms-excel,application/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application/vnd.ms-powerpoint,application/vnd.openxmlformats-officedocument.presentationml.presentation,image/jpeg,image/png,image/gif,image/bmp,image/tiff">
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<button type="button" class="btn btn-success" id="file-add"><i class="fa fa-plus"></i> Add</button>
<button type="button" class="btn btn-danger" id="file-deleteAll"><i class="fa fa-trash-o"></i> Remove All</button>
<span class="help-block file-info"> Maximum file attachments: 10<br> Maximum file size: 25MB per attachment<br> Allowed file types: pdf, doc, docx, rtf, txt, xls, xlsx, ppt, pptx, jpg, png, gif, bmp, tiff<br> File names may not contain the
following characters: <span style="font-style: normal; font-weight: bold;">\ / : * ? " < > |</span>
</span>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-10 col-sm-offset-2">
<label>I have a direct interest in the record(s) at issue as (check all that apply):</label>
<div>
<label class="checkbox-inline" for="interest_owner">
<input type="checkbox" name="interest_owner" id="interest_owner" value="1"> The owner of a record containing confidential or proprietary information or trademarked records </label><br>
<label class="checkbox-inline" for="interest_emp">
<input type="checkbox" name="interest_emp" id="interest_emp" value="1"> An employee of the agency </label><br>
<label class="checkbox-inline" for="interest_vendor">
<input type="checkbox" name="interest_vendor" id="interest_vendor" value="1"> A contractor or vendor </label><br>
<label class="checkbox-inline" for="interest_other">
<input type="checkbox" name="interest_other" id="interest_other" value="1"> <input type="text" class="form-control" id="other" name="other" placeholder="Other" maxlength="250" style="width: 400px; margin-top: 3px;">
</label>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-4 col-md-5 col-sm-6 col-sm-offset-2">
<div class="alert alert-info">
<div id="g-recaptcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcoJhwTAAAAAH9cvwkSIIeHjjsXkC93D3cWmFb0&co=aHR0cHM6Ly93d3cub3BlbnJlY29yZHMucGEuZ292OjQ0Mw..&hl=de&v=3TZgZIog-UsaFDv31vC4L9R_&size=normal&cb=yo8xhmplfvby"
width="304" height="78" role="presentation" name="a-khb1h0s5mvnx" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<script type="text/javascript">
var recaptchaForm = $('#dipForm');
var recaptchaCallback = function(response) {
recaptchaForm.find('button[type=submit], input[type=submit]').prop('disabled', !(response));
};
var recaptchaOnload = function() {
grecaptcha.render('g-recaptcha', {
'sitekey': '6LcoJhwTAAAAAH9cvwkSIIeHjjsXkC93D3cWmFb0',
'callback': recaptchaCallback || function() {},
'expired-callback': recaptchaCallback || function() {}
});
};
$(function() {
recaptchaCallback();
recaptchaForm.find('button[type=reset], input[type=reset]').click(function() {
if (grecaptcha) {
grecaptcha.reset();
recaptchaCallback();
}
});
if (!!(recaptchaForm.data('validator'))) {
var cacheFn = recaptchaForm.data('validator').settings.submitHandler;
if (cacheFn) {
recaptchaForm.data('validator').settings.submitHandler = function(form) {
if (!grecaptcha.getResponse()) {
return false;
}
return cacheFn.apply(cacheFn, arguments);
};
} else {
recaptchaForm.data('validator').settings.submitHandler = function(form) {
if (grecaptcha.getResponse()) {
form.submit();
}
};
}
} else {
recaptchaForm.submit(function(e) {
return !!(grecaptcha.getResponse());
});
}
});
</script>
<script src="https://www.google.com/recaptcha/api.js?onload=recaptchaOnload&render=explicit" async="" defer=""></script>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-2 col-sm-10">
<button type="submit" class="btn btn-primary" id="btn-submit" disabled="">Submit</button>
<button type="reset" class="btn btn-default" id="btn-reset">Reset</button>
</div>
</div>
</form>
Text Content
Ask a Question RSS Follow on Twitter Print Page OOR Office of Open Records * Right-to-Know Law * About the RTKL & FAQ * Right-to-Know Law Statute * Legislative History * RTKL Flowchart * RTKL Case Law Index * How to File a Request * Find Agency Open Records Officers * Citizens' Guide * Agency Guides * Fee Schedule * Advisory Opinions * RTKL Forms * Regulations Under Development * Records Retention * Requesting Police Recordings * Judicial Agencies * Appeals * How to File an Appeal * File an Appeal * Mediation Program * Procedural Guidelines * In Camera Review Process * OOR Decisions (Docket Search) * Options After OOR Decision * Request Direct Interest Participant Status * File an Entry of Appearance * Final Determinations Issued by District Attorneys * Sunshine Act * Training * About Training * Request Training * Calendar * OOR PowerPoint Presentations * OOR Training Videos * OOR Annual Trainings * OOR Sunshine Week * OOR Roundtable * OOR Webinars * About * About the OOR * Contact OOR * Request OOR Records * Our Team * Careers * Transparency * Reports and Surveys * Official OOR Blog * OOR Updates REQUEST DIRECT INTEREST PARTICIPANT STATUS Direct interest participant - A person or entity, other than the requester or agency, who has been granted the ability to participate before the OOR under § 77.75 (relating to request for direct interest participant status). Please accept this as a Request to Participate in a currently pending appeal before the Office of Open Records. The statements made herein and in any attachments are true and correct to the best of my knowledge, information and belief. I understand this statement is made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsifications to authorities. Docket #: Name: Type: Personal Organization PUBLIC RECORD NOTICE All filings with the OOR will be public records and subject to public access with limited exception. If you do not want to include personal contact information in a publicly accessible record, please provide alternate contact information in order to receive future correspondence related to this appeal. Address: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Email: Phone #: Comments: Attach Files: 0% Remove Cancel Browse … Add Remove All Maximum file attachments: 10 Maximum file size: 25MB per attachment Allowed file types: pdf, doc, docx, rtf, txt, xls, xlsx, ppt, pptx, jpg, png, gif, bmp, tiff File names may not contain the following characters: \ / : * ? " < > | I have a direct interest in the record(s) at issue as (check all that apply): The owner of a record containing confidential or proprietary information or trademarked records An employee of the agency A contractor or vendor Submit Reset Printable version of this form (revised June 2017):