FOIA Record request form

State & Federal Records Request Form

Welcome to the records request page! Use this form to submit a Freedom of Information Act or Freedom of Information Law request.

If your request is for Military Personnel Records please visit the Personnel Records page.

Requests take at least 24 hours, but can take much longer, depending on the location and type of information.

If your request is denied, you will be notified, but can appeal the decision by emailing our records manager.

First Name:
Last Name:
Address:
City:
State:	Zip Code:
E-Mail:
Phone:

I request that a copy of the following records be provided to me:
(Describe the documents or information as specifically as possible.)

In order to help determine my status to assess fees, you should know that I am:

	a representative of the news media affiliated with , and this request is made as part of a news gathering effort.
	affiliated with an educational or noncommercial scientific institution, and this request is made for a scholarly or scientific purpose.
	an individual seeking information for personal use.
	affiliated with a private corporation and am seeking information for use in the company's business.

This request for commercial purposes.

If fees apply, I will pay up to $ for this request.
I understand that I will be notified if the fee exceeds this amount prior to my request being filled.

If you prefer to use regular mail or you feel a more detailed request is necessary you may use this form as an outline, click the “Print this form” button and mail it to the address on the printed copy.

© NYS DMNA: FOIA/FOIL Records Access Request
URL: http://dmna.ny.gov/foil/foia-req.php
Page Last Modified: 07 Feb 13 (ba)