HomeMy WebLinkAboutFreedom Of Information Law (FOIL) Request Form 2021TOWN OF LANSING
29 Auburn Road
Lansing, New York 14882
FREEDOM OF INFORMATION LAW (FOIL) REQUEST
TO: ___________________________Department (please specify)
I wish to inspect onsite I wish to receive copy(s) of the following record(s): ________________________
________________________________________________________________________________________
I understand all copy and postage expenses are to be pre-paid.
Name_________________________________________________________________
Mailing Address_________________________________________________________
Address where copies are to be mailed._______________________________________
______________________________________________________________________
Phone (W)_____________________________________________________________
(H)__________________________________________________________________
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TO: Applicant - your request is hereby:
APPROVED_________
TOTAL CHARGE IF APPLICABLE: $___________
Records may be inspected, picked up in person, or mailed to applicant. If mailed, postage will be charged and must be
pre-paid. Fee for records is 25¢ per page. Additional charges apply for large documents, or photographs.
DENIED (or denied in part) for the reasons checked below:
______Release of information would constitute an unwarranted invasion of personal privacy
_______Applicant may look at construction/building plans but not make a copy of them
_______Records requested cannot reasonably be located based on description
_______Release of information would endanger the life or safety of a person
_______No record exists which responds to request/record cannot be found
_______Record is not maintained by this agency
_______Interagency or intra-agency materials
_______Evidentiary records withheld as criminal action still pending
_______Exempted by a law other than FOIL
_______Identity withheld because no criminal action pending
_______Other___________________________________________________________________________
DATE_______________
Any person denied access to records may appeal the denial in writing within 30 days. Such appeal shall be heard by the
Town Supervisor of the Town of Lansing, 29 Auburn Road, Lansing, New York 14882