Request for Records Records Access Officer



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Date06.08.2017
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#27380
TypeRequest
Sample FOIL Request for Records

Records Access Officer

XXXXX Department

1776 American Way

Anytown, USA XXXXX

Dear Records Access Officer:


Under the provisions of the Freedom of Information Law (Article 6 of the Public Officer’s Law), I hereby request a copy of (or: access to) _______________(describe as accurately and specifically as possible the record(s) you are requesting and provide all relevant information you have concerning them).
I understand there is a fee of $.25 per page for duplication of the records requested. (OPTIONAL: If the fee exceeds $__, please contact me before duplicating the records.)
If all or any part of this request is denied, please provide the reason(s) for the denial to and your agency’s appeal procedures.
Sincerely,
Signature

Name


Address

City, State, ZIP code



Phone Number
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