Independence Township, MT · Warren County

No notary required

Open Public Records Act Request Form

Independence Township’s Open Public Records Act Request Form lets residents and other requestors describe and submit requests for government records.

What this form is

Use this form to request government records from Independence Township under the Open Public Records Act, and optionally request access under common law. It asks for requestor and delivery information, a specific description of the records, and a maximum authorized cost; it also includes a certification for requests involving personal information. The form lists copying and delivery charges and has sections for the custodian’s response.

Who needs it

Anyone seeking government records from Independence Township can complete this form, including requestors who also want to request access under common law.

How to submit it

Send the written request to the Record Custodian, Dena Hrebenak, at 286-B Route 46, P.O. Box 164, Great Meadows, NJ 07838. The form also lists [email protected] and fax 908-637-8844.

About notarization

This document is signed without a notary; the requestor signs and dates it, and the personal-information certification is not identified as requiring notarization.

How to submit this form

  1. 1

    Download The Form

    Download the Open Public Records Act Request Form.

  2. 2

    Complete The Request

    Print your information, preferred delivery method, record description, maximum authorized cost, and payment method.

  3. 3

    Review Common Law Option

    If also requesting records under common law, check the box and describe your interest in the subject matter.

  4. 4

    Submit To The Record Custodian

    Send the written request to Dena Hrebenak using the address, email, or fax listed on the form.

Frequently asked questions

Do I need a notary for the Open Public Records Act Request Form?
No. The form has a signature and date line but no notary block. Its personal-information certification is not identified as requiring notarization.
How do I submit an Open Public Records Act request?
Send the written request to Record Custodian Dena Hrebenak at the address on the form. It also lists an email address and fax number.
What information does the request form ask for?
It asks for requestor contact and delivery information, a specific description of the records, a maximum authorized cost, and a payment method.
Can I request records under common law too?
Yes. The form includes a checkbox to request records under common law and space to explain your interest in the subject matter.

Need something notarized?

This Open Public Records Act Request Form doesn’t need a notary — but if you have another Independence Township form that does, a commissioned online notary can help.