2. TO: VILLAGE CLERK

   Under provision of the New York Freedom of Information Law, Article 6 of the Public Officers Law, I wish to obtain the following information:

4. (please specifically identify, including dates as applicable)
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone
18. Email
20. Representing (as applicable)

22. I understand if the information is available, the cost of copying such records maybe charged by the Village at the cost of $.25 per page. Multiple copies may require advance payment at the discretion of the Village Clerk. I also understand the law allows 5 days response time for compliance with this request.

    By choosing to submit this form electronically you agree to the terms stated above.

    If you have any questions please call the Village Hall Office at (518) 765-2692.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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