Fillable TOWN OF CHESTER FREEDOM OF INFORMATION LAW (FOIL) (Town of Chester)

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TOWN OF CHESTER FREEDOM OF INFORMATION LAW (FOIL) (Town of Chester)

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TOWN OF CHESTER
LINDA. A. ZAPPALA TOWN CLERK’S OFFICE
TOWN CLERK
FREEDOM OF INFORMATION LAW (FOIL) 1786 KINGS HIGHWAY
REGISTRAR CHESTER, NY 10918
RECORDS ACCESS OFFICER
APPLICATION FOR PUBLIC ACCESS TO RECORDS Tel: (845) 469-7000x4
Fax: (845) 469-9242
__________________________________________________________________________________________________
To: RECORDS ACCESS OFFICER
I hereby apply to: inspect/obtain (circle one) copies of the following records:
UNDER PENALTY OF LAW, I AFFIRM THAT THIS REQUEST OF DOCUMENTS IS NOT GOING TO BE USED FOR
COMMERCIAL PURPOSE, MARKETING OR FINANCIAL GAINS.
NOTE: A fee of 25 cents per copy will be charged for all copies requested. Fees for documents larger than 9x14
(reproduced by a private contractor), data files and recordings will be charged for the actual cost of reproduction.
Signature:_____________________________________ Date:______________________Phone:___________________
Print Name:____________________________________Representing:________________________________________
Mailing Address:____________________________________________________Email:__________________________
We are in receipt of your request and will be contacting you with our findings. Your request may be denied, fulfilled
completely or in part. In accordance with Section 89.3 of the Freedom of Information Law, response to a written
request for a record reasonably described shall be made within 5 business days of receipt.
FOR AGENCY USE ONLY
Approved ___ Records to be ready for inspection or reproduced by: __________________________________(Date)
Denied ___ (reason(s) below:
____Confidential Disclosure ____Part of Investigatory Files ____Unwarranted Invasion of Personal Privacy
____Record of which this Agency is Legal Custodian cannot be found ____Record is not maintained by the Agency
____Exempted by Statute other than the Freedom of Information Law
____Other (specify)__________________________________________________________________________________
Signature:___________________________________________Date:__________________________________________
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TOWN OF CHESTER FREEDOM OF INFORMATION LAW (FOIL) (Town of Chester)

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Completed 18 January 2021

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