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State & Federal Records Request Form

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.

As pertaining to requests for Personnel Records:
the submission of this form is used in lieu of an actual signature, which verifies that the information sought, pertains solely to the requestor. Any attempt to gain access to 3rd party records through submission of this form, may be seen as a fraudulent attempt to obtain Privacy Act protected material regarding another individual and may subject requesting individual to punishment to the fullest extent of state and federal laws.

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: frederick.c.alber.civ@mail.mil.

Contact Information
    
Your Request

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

Request Details

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

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.


Please read “As pertaining to requests for Personnel Records” before submitting this form
© NYS DMNA: FOIA/FOIL Records Access Request
URL: http://dmna.ny.gov/foil/request/
Page Last Modified: 19 Mar 15 (ba)