FOIL Request Form - Town of Remsen

To: Town of Remsen Records Access Officer

New York State FOIL Form

Request Information

Request Title (required)

Date (required)

Request Description (required)

Requestor's Information

First Name (required)

Last Name (required)

Business or Organization (if applicable)

Address Line 1 (required)

Address Line 2

City (required)

State (required)

Zip Code (required)

Country (required)

Mobile Phone

Home Phone

Work Phone

Preferred Method of Contact (required)

By Email

By Mail

By Phone

How would you like to receive records?

Certain fees may be assessed for records produced in response to a FOIL request. You will be notified of the approximate total fees to copy records before they are provided to you. Any applicable fees must be paid in full before records are released.

Acknowledgement (required)

I have read and accept the terms above regarding FOIL request fees.

I would like to obtain my records via: (you must select an option)

Mail

Pickup