EmailMeForm
APPLICATION FOR ACCESS TO PUBLIC RECORDS
Pursuant to Freedom of Information Law
Applicant's Name
*
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
*
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Email
*
I hereby apply to inspect the following record(s)
*
Representing
Mailing Address (If different from above)
Street Address
City
State / Province / Region
Postal / Zip Code
For Agency Use Only
Approved/Denied
Approved
Denied
Denied for the following reason(s)
Notice
You have the right to appeal a denial of this application to the Town Attorney within thirty (30) days.
Signature
Date
Title
