Form E-07 - Foil Application printable pdf download

Form E-07 - Foil Application

#E-07

APPLICATION FOR PUBLIC ACCESS TO RECORDS

PAGE ONE

Clearly print or type all appropriate information below.

Name of Department _________________________________

I hereby apply to inspect the following record. (Please describe the record sought. If

possible, supply a date, a file title and number, and any other information that will help

locate the record desired.):

Signature ____________________________ Date of Application____________________

Printed Name ______________________________

Mailing Address ____________________________

____________________________________________

By submitting this form, I hereby agree to pay fees associated with the following request.

Fees

As set forth in Public Officers Law Section 87(1)(b)(iii) and (c) and 16 NYCRR 6-1.2, except when a different

fee is otherwise prescribed by statute:

(a) the fee for copies of records from originals 8 1/2" x 11" and 8 1/2" x 15" shall be 25 cents per photocopy

and

(b) the fee for preparing and reproducing any other record shall be the actual cost, which shall include

only:

(1) an amount equal to the hourly salary attributed to the lowest paid department employee who

has the necessary skill required to prepare a copy of the requested record;

(2) the actual cost of the storage devices or media provided to the person making the request in

complying with such request; and

(3) the actual cost to the agency of engaging an outside professional service to prepare a copy of

a record, but only when the agency's information technology equipment is inadequate to prepare

a copy, if such service is used to prepare the copy.

shall be charged unless at least two hours of County employee time is needed to prepare a copy of the

record requested.

An additional written statement, from the requester/authorized representative, expressing consent to pay

all applicable fees is required for requests expected to cost $100 or more.

h/NYSFOILform

Form E-07 - Foil Application