Form Aa-33fi - Freedom Of Information Appeal Form
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1
2FREEDOM OF INFORMATION APPEAL FORM
Public Officers Law -- Article 6
FOR OFFICE USE ONLY
Appeal Case Number
Instructions:
•
You must file your appeal within 30 days of the date of denial of access to records.
•
You will be Notified in writing of the results of your appeal.
What record(s) did you request that was denied? Describe here, or attach a copy of your original request and any DMV reply:
State your reasons for appealing on the back of this form or attach your statement.
(Type or print clearly)
Fill in the information below
Last Name
First
M.I.
Date of Denial (Mo./Day/Year)
Corporate Name (if applicable)
Foil Request #
Mailing Address (Include Street & No.)
City/Town
State
Zip Code
If you are represented by an attorney in this appeal, complete this section.
Last Name
First
M.I.
Date of Denial (Mo./Day/Year)
Corporate Name (if applicable)
Foil Request #
Mailing Address (Include Street & No.)
City/Town
State
Zip Code
Send your appeal to:
Department of Motor Vehicles
Appeals Processing Unit
P.O. Box 2935
Albany, New York 12220-0935
Be sure to complete the certification on Page 2 of this form
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AA-33FI (1/16)
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Parent category: Legal