OFFICE OF THESHERIFF+ FULTON COU:\TY +SHERIFF RICHARD C. GIARJ)JNO
F.O.I.L. RECORDS REQUEST
WITHIN 5 BUSINESS DAYS YOU WILL BE NOTIFIED OF:
THE COST OF AVAILABLE RECORDS
OR:
RECORDS DENIAL WITH THE BASIS FOR THE DENIAL
OR:
ACKNOWLEDGEMENT OF REQUEST WITH TIME ESTIMATE
NEEDED TO FILL REQUEST
A REPORT FEE OF $.25 PER PAGE IS DUE PRIOR TO RELEASE OF RECORDS
PHOTOGRAPHS ARE SUBJECT TO THEIR OWN FEE SCHEDULE
YOU WILL RECEIVE RECORDS REQUESTED UPON RECEIPT OF PAYMENT!
DATE: __________________________ PHONE: __________________________
NAME: ___________________________________________________________
(PROOF OF IDENTIFICATION REQUIRED)
ADDRESS: ________________________________________________________
EMAIL: ___________________________________________________________
INVOLVEMENT: Complainant: Victim: Witness: Other: ________
(explain)
REPORT/RECORD TYPE: Incident: MVA Investigation: Other: ________
(explain)
Report#: _________________ Background Check: ______ Photographs: _______
REASON: Insurance: ______ Attorney/Court: ______ Personal Record: ______ Employer: ______
Other: ___________________________________________________________
(explain)
INCIDENT LOCATION: ____________________ DATE/TIME: ______________________
BRIEF DESCRIPTION OF INCIDENT: ___________________________________________
******************************************************************************
FOR OFFICE USE ONLY:
Approved: _____ Denied: _____ Referred To:_____________________________________
P.O. Box 20 | 2712 State Highway 29 | Johnstown, New York 1209S | Phone: (518)736-1128 |Fax: (518)762-8392
