Fillable Freedom of Information Law (FOIL) Application for Public (Village of Wasingtonville)

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Freedom of Information Law (FOIL) Application for Public (Village of Wasingtonville)

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The Freedom of Information Law (FOIL) Application for Public (Village of Wasingtonville) form is 1 page long and contains:

  • 3 signatures
  • 0 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Village of Wasingtonville

BROWSE VILLAGE OF WASINGTONVILLE (NY) FORMS

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Freedom of Information Law (FOIL) Application
for Public Access to Records
To:
Records Access Officer
Name of Agency/Dept:
I hereby apply to inspect/obtain copies of the following record(s):
NOTE: A fee of 25 cents per copy will be charged for all copies requested. Fees for documents larger
than 9”x14” (reproduced by a private contractor), data files (discs), and recordings will be charged
for the actual cost of reproduction.
Signature:
Date:
Name:
Home Tel#:
Cell #:
Mailing Address:
For Agency Use Only
Approved
Denied - for reason(s) checked below:
Confidential Disclosure
Part of Investigatory Files
Unwarranted Invasion of Personal Privacy
Record of which this Agency is Legal Custodian and cannot be found
Exempted by Statute other than the Freedom of Information Law
Other (specify)
Signature
Title
Date
NOTE: You have a right to appeal a denial of this application to the head of the agency.
Name:
Business Address:
Who must fully explain the reason(s) for such denial within seven days of receipt of an appeal.
I hereby appeal this application.
Signature:
Date:
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Freedom of Information Law (FOIL) Application for Public (Village of Wasingtonville)

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Completed 25 January 2021

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