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I am an individual seeking information for personal use I am affiliated with an educational or non-commercial scientific institution, and this request is made for a scholarly or scientific purpose I am a representative of, or affiliated with, the news media and this request is made as part of a news gathering effort I am affiliated with a private corporation and am seeking information for use in the company’s business for commercial purpose I am affiliated with a private corporation and am seeking information for use in the company’s business for non-commercial purpose (For statistical purposes only)

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We will notify you of any special charges or other additional charges authorized by the State law or regulation before processing your request.   Payment shall be made by cash, check, or money order payable to the Village of Southampton.

Delivery Preference

Please note that your preferred method of delivery will only be accommodated if the Records Access Officer has the technological means and the integrity of the records will not be jeopardized by such method of delivery.

the United States.

Requestor

City

Record Request Information

State

Address

The Freedom of Information Law (Public Officers Law, Article 6) (FOIL) grants members of the public access to the records of government in accordance with its provisions. For more information about FOIL and the Personal Privacy Protection Law (Public Officers Law, Article 6-A), please visit the New York State Committee on Open Government’s website.

Preferred Delivery

Last Name

Certification

Deposits/Fees

If you are requesting records containing personal information, please certify the following:

ZIP

Under penalty, I certify that I

Records Access Request Under Freedom of Information Act (FOIL/FOIA)

been convicted of any indictable offense under the laws of New York, any other state, or

Phone #

Please be as specific as possible in describing your request.

Request for "any and all" are generally considered too broad and may be returned for clarification.

Pursuant to FOIL §89(3), an agency must grant access to records, deny access in writing, or acknowledge the receipt of a request within (5) five business days of receipt of a request. Please allow a minimum of twenty (20) business days to process and retrieve your request. Within said time, you will either be provided with copies of the requested material or issued an explanatory letter of denial, as records or portions thereof may fall within one or more grounds for denial appearing in §87(2)(a) through (i) of the Law.

Company Name

First Name

Fax #

Requestor Signature

Email