FOIL Online Request

Freedom of Information Law
Application for Public Access to Records

* Indicates Required Information

REQUESTOR INFORMATION

Name*

First Last

Company

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Enter Email Confirm Email

This request relates to:*

Myself
Other Party

Other Party Information

First Last

Company

Address

Street Address Address Line 2 City State ZIP Code

RECORDS REQUEST

Fully describe the records you are requesting. A complete and detailed description of the records you are requesting is necessary to accurately respond to your request. Your failure to describe the records that you are requesting in sufficient detail may result in a denial of your request. You must also include the dates of the documents.

NOTE: Police Department requests should be referred to the Town of Warwick Police Department

Requested documents are in the following department(s):*

Clerk's Office
Planning/Zoning
Building
Water
Dept of Public Works
Other

I would like to receive the documents in the following format:*

Inspect Only
Photo Copies
Electronically (If Available)

Other Department

List Documents Requested*

Document Description	Date or Time Period

There is a twenty-five cent (.25) per page charge for each regular size (8 ½ x 11) public document copied. There will be an additional charge for larger size documents, maps, tapes, disks, etc. By signing this document, you agree to pay any reproduction costs that may apply.

A response to your request will be within 5 days. Our departments will have up to twenty business days to research and provide the requested documents.

If denied, you have the right to appeal in writing to the Village Clerk within ten (10) days of the denial at:

Village of Warwick Board of Trustees
77 Main Street / P.O. Box 369
Warwick, NY 10990

The Village of Warwick must fully explain the reason(s) for such denial within seven (7) days of receipt of an appeal.

Acknowledgement of Requester*

I agree

I acknowledge that the information provided is true and accurate and that I consent to pay any costs that may apply.

Date*

FOIL Form

Freedom of Information LawApplication for Public Access to Records

Freedom of Information Law
Application for Public Access to Records