Fillable Freedom of Information Law Request for Records (City of Plattsburgh)

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Freedom of Information Law Request for Records (City of Plattsburgh)

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Plattsburgh Police Department
Freedom of Information Law
Request for Records
INSTRUCTIONS
• All requests must be made in writing and may be submitted via email, U.S. mail, or fax
• Within five (5) business days you will receive a response to your request for records with a written
acknowledgement of receipt, and a statement of the approximate time frame for response. If you DO NOT
receive a letter within 5 business days, please contact the records department at the email address below
• Submit completed form by email or mail to:
EMAIL ADDRESS: MAILING ADDRESS:
records@plattsburghpd.com
Plattsburgh Police Department
Attn: Records Department
FAX: 45 Pine Street
(518)566-9000 Plattsburgh, NY 12901
REQUESTOR INFORMATION (required)
Date
Name
Phone #
Fax #
Mailing Address
State
Zip
Email Address
Person You Represent
Your Firm/Organization Name (if applicable)
Phone #
Firm/Organization Address
State
Zip
RECORD INFORMATION
*Identify or describe the record(s) sought with detailed information to assist in locating the record(s)*
Incident # (if available)
Incident Type
Incident Date
Incident Time
Incident Location
Name of Involved Individual(s) (Last, First, MI)
DOB
Briefly Provide Other Descriptive Information on Record(s) sought:
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Freedom of Information Law Request for Records (City of Plattsburgh)

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Completed 21 January 2021

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