190Dec 11 1212:45p JMJ Services, Inc,
FOR INTERNAL USE ONLY
Received by: Christine Fulton '~
Jessica Fulton ^
Date Received: f a-- l ~ t / l ~-
FOIL Ser. #:
DEPART11~iENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT ^
PLANNING ^
ZONING ['
FIRE INSPECTOR ^
HIGHU'AY n
RECEIVER OF TAXES 7
RECREATION ^
SUPERVISOR ^ ,
TOWN CLERK
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOVaTI ENGINEER J
TOV6'N ATTORNEY ^
8457695093 p,2
2009-10-16 JCM
TOWN Off' ~VAPPINGER
Application for Public Access to Records
FOIL REQ~IES?'
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ l l - / 1a-
Department Head approval: ~_
{init)
Date Applicant Contacted: ~ a- 11 I ! l ~'
Date FOIL fulfilled or enied- f a 1 ~ 112..
Closed by: .
Date:
1 ~--1 l I /(a-•
Notes: .U~11~(,t,t.E,t~ 1'lc~t-FtC~~hyt
Amount Due: Pages for a total of $
Name:
Address:
Agency or firm: .?r»~~ ~s~^v; ees ~ Ln~.
Telephone #: (get,-) ~_- co FAX #:
Email address: 3'r~.r:~~r,.;,a~•r_,,. ~~_,._ ~~ r
check here if you are
requesting that the records
be mailed to this address.
~- '~~ 3
FORMAT OF RECORD (if available)
^ I request to be notified when I can come to inspect the record(s) described above
^ I request copies of the records described above and agree to pay the cost of such records in
/ aecardance with the fee schedule an the back of this application
I~ I request that the records be sent via a-mail to the address listed above
^ I request that the records be faxed to the number listed above
SPECIFIC DESCRIPTION OF RFC:nRn-
Dec 11 1212:46p JMJ Services, Inc. 8457695093 p.3
2009-10-16 JCM
The Town of Wappinger has designated the Town Clerk, by the adoption of Resolution No. 43 of 2002, as the Records
Management Officer (RMO). It is the responsibility of the RMO to ensure compliance with the Freedom of Information Law.
The Town Clerk's Offke houses many of the Town's records and maintains a subject file index of those records. However, each
individual Department within the Town of Wappinger gwernrnent maintains records specific to their office and is designated
custodian of such records.
Active records are located at the Town Hall, 20 Middlebush Road, Wappingers Falls, NY, 12590. Hours of operation for the
Town Hall are 8:30 AM to 4:00 PM, Monday through Friday, exduding holidays named at each Reorganization Meeting and other
times during which the Town Supervisor, or other authorized official, directs the Town Hal! to be dosed, such as for inclement
weather or other emergency.
FOIL request forms are available at the Town Clerk's Office. To make a request for access to records, fill out the
application to include the following:
• Name
• Agency or Firm (write "self" if making the request for yourself)
• Address of applicant
• Telephone number of applicant
• Fax number of applipnt
• Notate if you would like copies of the records or would only like to inspect the records
• A SPECIFIC description of the records being requested
FOIL requests can be faxed, emailed, mailed or dropped off at the Town Clerk's Office. If records are being requested
from multiple offices, submit separate requests for each.
The cast for copies of records is $0.25 per page for paper copies up to 9" X 14". Copies for most other records will be the
cost of reproduction. Other costs wail be calculated in accordance with §67 of the Freedom of Information Law.
Upon receipt of a FOIL request, the RMO will assign the request a serial number. The request will then be entered into a
database and forwarded to the appropriate department. Within 5 days after the receipt of the request, the responsible department
wiU make such record available to the person requesting it, deny such request in writing ar furnish a written acknowledgment of the
receipt of such request and a statement of the approximate date, which shalE be reasonable under the circumstances of the request,
when such request will be granted or denied. The approximate date wilt be within 20 days of the date of receipt. If the request
cannot be fulfilled within 20 days, the department will provide the requester with an exact date that the record will, wholly or in
part, be provided or made available.
The RMO may require the requester of certain FOlL requests to sign an affidavit that information being provided will not be
used for solicitation or fund-raising purposes and that the requester will not self, give or otherwise make such information available
to another person for the purpose of allowing that person to use the information far solicitation orfund-raising purposes.
A requester may ask that the Town Clerk certify recorris being requested. Such requests will require that the requester pay
the appropriate fee for certified copies as set forth in Chapter 122 of the Tawn Code of the Town of Wappinger.
If a request is denied by the RMO or appropriate custodian, the requester may appeal such denial within seven business
days of receipt of denial. Appeals must be submitted in writing and sent to the RMO.
The information provided here is posted to assist you with your FOIL request. It will be updated as needed, but is always to
be considered subordinate to the Freedom of Information Law and the Town Code of the Town of Wappinger. If at any time, the
information posted here contradicts the Freedom of Information Law or the Town Cade of the Town of Wappinger, the information
posted here is to be deemed invalid.
Record of Attempts to Contact Applicant
rorinremai use
Notes & Comments
Dec 11 1212:46p JMJ Services, Inc. 8457695093 p.4
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Dec 11 1212:45p JMJ Services, Inc.
P.O. Box 37
Montgomery, NY 12549
P: 845-769-5100
F: 945-789-5093
FaX
~°' Wappingers Falls Town Clerk
8457695093
Fj'Om° l3ryan T. Meyer
p.1
Attn: Office of the Town Clerk Pagan: 4 including cover
Fax: 845-298-1478 Date: 12!11 !2012
Re: ~:
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