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