Fillable APPLICATION FOR ACCESS TO RECORDS VILLAGE OF WAPPINGERS (Village of Wappingers falls)

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APPLICATION FOR ACCESS TO RECORDS VILLAGE OF WAPPINGERS (Village of Wappingers falls)

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U.S.A. forms for Village of Wappingers falls

BROWSE VILLAGE OF WAPPINGERS FALLS (NY) FORMS

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VILLAGE OF WAPPINGERS FALLS
Office of the Village Clerk
Heather McCormick
2582 South Avenue, Wappingers Falls, NY 12590
Phone: (845) 297-8773 Fax (845) 298-2645
Email: hmccormick@wappingersfallsny.gov
www.wappingersfallsny.gov
APPLICATION FOR ACCESS TO RECORDS
I HEREBY APPLY TO REVIEW THE FOLLOWING RECORD(S):
Name (Please Print) Representing (Business Name/Self)
Signature (Original Signature Required) Telephone
Date E-mai
l
Mai
ling Address Zip
PLEASE TAKE NOTICE
You have the right to appeal a denial of this application to the Records Appeals Officer. An appeal
must be made within 30 days from the receipt of the denial and the Appeals Officer must fully
explain the reason(s) for such denial in writing within 10 days of receipt of an appeal.
Access to records is provided through the New York “Freedom of Information” Law (Public
Officer’s law, Section 84-90). The law is administered by the NYS Committee on Open Government.
(99 Washington Avenue, Suite 650, Albany, New York 12231) Telephone: 518-474-2518
Please mail appeals to: Records Appeal Officer (2582 South Avenue, Wappingers Falls NY 12590)
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________________________ _________________________ __________________
FOR AGENCY USE ONLY
[ ] APPROVED
[ ] DENIED (Reason(s) checked below)
__Exempted by State/Federal Statue __Pending contract/bargaining negotiation
__Unwarranted Invasion of privacy __Registered trademark/trade secret
__Record(s) part of an investigation __Endangerment to life or safety
__Interagency transmittal/not policy oriented __Part of test questions/answers
__Computer access code(s) __Record not maintained by this unit
__Record of which this unit is the legal custodian cannot be found/does not exist.
Other (specify): ________________________________________________________________
Signature Title Date
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APPLICATION FOR ACCESS TO RECORDS VILLAGE OF WAPPINGERS (Village of Wappingers falls)

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Completed 17 July 2020

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