Request For Public Records Form - Township Of Florence Page 2
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3A request for a copy of Public Records should be submitted on this form, which has been adopted by the Municipal
Clerk ad the Custodian of Records. Some records will be immediately available during normal business hours.
Some records will require time to compile and to make the copies requested, but will normally be available during
normal business hours and within seven (7) business days. If any document or copy which has been requested is not
a public record or cannot be provided within the seven (7) business days, you will be provided with a response with
that information within (7) business days. Some records requested have specific fees or other response times
established by statute. There is no fee involved in simply inspecting a document during normal business hours.
This request may be filed electronically, In general:
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Immediate access is ordinarily available for budgets, bills, vouchers, contracts, including collective
negations agreements and individual employment contracts, and public employee salary and overtime
information. Minutes of public meetings will be generally available immediately after the minutes have
been approved.
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Records which are not readily available or which will require a search or records will be made available as
soon as possible and the applicant will be provided with an interim report within seven (7) business days
indicating the time which will be required to provide the records.
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Except as otherwise provide by law or regulation, the fee assessed for the duplication of a printed record
shall be: first pate to tenth page, $0/75 per page; eleventh page to twentieth page, $0.50 per page; all pages
over twenty, $0/25 per page; for a police accident report there is an additional fee when the request is not
made in person of $5.00 for the first 3 pages and $1.00 for each additional page, as provided by N.J.S.A.
39:4-131.
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Where a request is for a copy in a format other than a photocopy, reasonable efforts will be made to provide
the information in the format requested. The cost will be based on the costs of producing the format
requested.
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Where legal determination must be made as to whether records are “public records” as provided by law, the
request will be reviewed by the Municipal Attorney.
The term “public records” generally includes those records determined to be public in accordance with N.J.S.A.
47:1A-1. The term does not include employee personnel files, police investigation records, public assistance
files, or other matters in which there is a right of privacy or confidentiality or which is specifically exempted by
law.
The Applicant hereby acknowledges receipt of a copy of this form with the date on which the information
is expected to be available and the estimated cost. The applicant hereby certifies that he or she has not
been convicted of any indictable offences under the laws of this State, any other state of the United States
and is not seeking government records containing personal information pertaining the victim or the
victim’s family as provided by N.J.S.A. 47:1A-1 et seq..
This form, when signed by the municipal official shall constitute a receipt for any deposit received.
The information requested will be ready on
___________________________________________
Estimated Number of Pages
___________________________________________
Estimated Cost
___________________________________________
Deposit
___________________________________________
[required where the anticipated cost of reproduction exceeds $5.00]
__________________________________________
___________________________________________
Applicant
Municipal Official
Date: _____________________________________
Date: ______________________________________
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