Note: An asterisk (*) denotes a required field.
This form is the ONLY acceptable method of making a records request (FOIL request) via the internet.
Requests made via direct emails or on other forms will not be processed or responded to.:

1) What records would you like sent back to you via email (Include as much detail as possible such as full names, dates, descriptions, etc...)*:
2) Cost of copies: Please inform me of the cost of providing paper copies of the following records (Include as much details as possible such as full names, dates, descriptions. etc...)
3) Records Inspection: Inform me of the appropiate time during business hours for me to inspect the following records prior to obtaining copies
4) What records would you like to inspect before receiving copies (Include as much detail as possible such as full names, dates, descriptions, etc...):
5) For records that can not be emailed: For records that can not be emailed to me, please inform me by email of the portions that can be emailed and advise me of the cost for reproducing the remainder of the records requested
6) What records would you like paper copies of (Include as much detail as possible such as full names, dates, descriptions, etc...):
7) CD-ROM Request: Please inform me of the cost of having the records supplied to me on a CD-ROM
If your request is too broad or does not reasonably describe the records, we will contact you via email so that you may clarify your request, and when approriate, indicate the manner in which records:
8) If my request must be modified, I would prefer to be contacted by phone at this number:
9) Full Name*:
10) Email Address*:
11) Full Mailing Address*:
12) Denied Request: If for any reason any portion of my request is denied, please inform me of the reason in writing and provide the name, address and email of the person or body to whom an appeal should be directed

, Sponsored & Operated by Hyde Park Fire & Water District
Another Poughkeepsie Journal Website