Commonwealth of Massachusetts
Office of the State Treasurer
Alcoholic Beverages Control Commission
95 Fourth Street, Suite 3
Chelsea, MA 02150-2358
Telephone: (617) 727-3040
Fax: (617) 727-1510
PUBLIC RECORDS REQUEST FORM
All public records requests will be responded to within ten (10) days after receipt
with an initial response and/or payment summary.
We request you supply the information as noted below. The form is provided for your convenience.
LICENSEE INFORMATION:
DATE:
NAME OF REQUESTOR:
FIRM/COMPANY:
ADDRESS OF REQUESTOR:
PHONE NUMBER:
CORPORATION NAME:
DBA:
ADDRESS OF LICENSEE:
COPY OF RECORDS ($0.05 PER PAGE, PLUS SEARCH AND REDACT FEES.
The first 4 hours of search/redaction/review time are no charge.)
OTHER / ADDITIONAL INFORMATION:
PLEASE BE AS SPECIFIC AS POSSIBLE WHEN REQUESTING INFORMATION:
PLEASE NOTE: THE ABCC REQUIRES PAYMENT IN FULL BEFORE DOCUMENTS ARE COPIED AND REDACTED.
http://www.sec.state.ma.us/pre/prepdf/guide.pdf
Pursuant to Public Records law 950 CMR 32, all exemptions from disclosure will be redacted from any and all material released.
An estimate of costs involved will be sent to you as part of your public records request.
REQUESTOR INFORMATION:
FAX NUMBER:
EMAIL:
Jean M. Lorizio, Esq.
CHAIRMAN
CITY: STATE: ZIP:
CITY: STATE: ZIP:
Initial Letter Sent:
If you would like to submit the request via e-mail please send to: abccrecordrequests@tre.state.ma.us.
For ABCC Use Only:
Payment Summary Sent: Complete:Reviewed:Redacted:
