Application For Access To Public Records
ADVERTISEMENT
1CITY OF NORWICH
NORWICH, NY 13815
Application for Access to Public Records
Please print all information clearly
Date of Request:
Specific Record Requested:
Date & Time of Incident (if applicable):
Specific Information Requested:
Name of Person Requesting Record:
Company:
Address:
Telephone:
Within five (5) business days the above request will be approved or denied.
Copies of approved records will be available @ $0.25 per each single page.
APPROVED ___________________
DENIED
Reason for Denial:
Signature: ____________________ Title: __________________ Date:
NOTICE: You have the right to appeal a denial of this application to the head of this
agency.
One City Plaza – Norwich, NY 13815
Telephone 607- 334-1201 -- Fax 607-334-1222
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business