Lewis County, New York- Foil Request Form

Foil Request Form

Please fill out the form completely and click the submit button at the bottom of this page.

To: Records Access Officer

c/oLewis County Attorney’s Office

7660 North State Street

Lowville, NY 13367

Re: Freedom of Information Law Request for Records

Dear Records Access Officer:

Under the provisions of the New York Freedom of Information Law, Article 6 of the Public Officers Law, I hereby request a copy of records or portions thereof pertaining to (or containing the following):

Records Requested

I understand that there is a fee of $.25 per page for duplication of the records requested. If the fee exceeds (please fill in fee amount) please contact me before duplicating records.

Fee

If for any reason any portion of my request is denied, please inform me of the reasons for the denial in writing.

Sincerely,

*First Name

*Last Name

*Address

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State

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Phone Number

*Email

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