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Freedom of Information Law - Request for Records

All requests must be made in writing. This form may assist you in structuring your request. Pursuant to Section 89(3) of the Freedom of Information Law, you will receive the records, permission to inspect, OR a written response within (5) business days from receipt of a reasonably described request. You may be charged up to $0.25 per page copied, but may inspect a document for free. You do not need to explain why you are requesting access to records. Thank you.

  • Name Name
  • Address Address
  • Draw or Type
    I understand this is a legal representation of my signature. Clear
  • Date Date / /
    Pick a date.
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