Erin, NY · Chemung County
Application for Public Access to Records
Town of Erin residents and others can use this form to identify records they wish to inspect or request access to.
What this form is
Use this application to ask the Town of Erin to provide access to records you identify as clearly as possible. It is addressed to the town’s records officer and includes spaces for your signature, printed name, address, and daytime phone. The form says you may inspect documents first and then ask for copies of the ones you want; it lists photocopies at $0.25 per page.
Who needs it
Anyone seeking to inspect records held by the Town of Erin can complete this form and identify the records as clearly as possible.
How to submit it
The form is addressed to Diane Wise-Hollenbeck, Records Officer, at 1138 Breesport Road, Erin, N.Y. 14838. It also lists a phone and fax number but does not specify a submission method.
About notarization
This document is signed without a notary; the requester just signs and dates the application.
How to submit this form
- 1
Download The Form
Download the Town of Erin Application for Public Access to Records.
- 2
Identify The Records
Describe the records you want to inspect as clearly as possible.
- 3
Complete And Sign
Fill in your contact information, date, and signature.
- 4
Send To The Records Officer
The form is addressed to the records officer at 1138 Breesport Road, Erin, N.Y. 14838; it does not specify a submission method.
Frequently asked questions
- Do I need a notary for the public records request?
- No. The application has a signature line but no notary block; the requester just signs and dates it.
- How do I submit the public records request?
- The application is addressed to Diane Wise-Hollenbeck, Records Officer, at 1138 Breesport Road, Erin, N.Y. 14838. The form does not specify a submission method.
- What information does the application ask for?
- It asks you to identify the records as clearly as possible and provide your signature, printed name, address, city, state, ZIP code, and daytime phone.
- Can I inspect records before requesting copies?
- Yes. The form says you may inspect documents first and then ask for copies of the ones you want. It lists photocopies at $0.25 per page.
Need something notarized?
This Application for Public Access to Records doesn’t need a notary — but if you have another Erin form that does, a commissioned online notary can help.
