Application For Public Access To Records - City Of Oneida

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FREEDOM OF INFORMATION LAW (F.O.I.L.) REQUEST FORM
APPLICATION FOR PUBLIC ACCESS TO RECORDS
TO:
RECORDS ACCESS OFFICER, CITY OF ONEIDA
I HEREBY APPLY TO INSPECT THE FOLLOWING RECORD:
______________________________________________________________________________
Signature _________________________________Print Name: __________________________
Relationship: _______________________________ Date: ______________________________
Address: _______________________________________ Phone:_________________________
*****************************************************************************
FOR AGENCY USE ONLY
APPROVED:
DATE: ____________________________
DENIED FOR REASON(S) CHECKED BELOW
____Confidential disclosure
____Unwarranted invasion of personal privacy
____Record of which this Agency is legal custodian cannot be found
____Record is not maintained by the Agency
____Exempted by Statute other than the Freedom of Information Act
____Part of investigatory files
____Other (specify)____________________________________________
____________________________________
_______________________________
Signature
Title
NOTICE: You have a right to appeal a denial of this application to the head of this Agency.
_________________________________
___________________________________
Name
Address

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