Chazy, NY · Clinton County
Application for Public Access to Records
The Town of Chazy form lets anyone request to inspect town records or obtain copies by providing contact details and identifying the records.
What this form is
Use this form to ask the Town of Chazy to let you inspect records or provide copies, which the form lists at $0.25 each. It asks for the records requested, your name, signature, representative information, phone or email, and address. The agency-use section records its decision and includes a space to appeal a denial.
Who needs it
Anyone seeking to inspect Town of Chazy records or obtain copies can complete this application with their contact information and record request.
How to submit it
Submit the application to Taylore Bourdeau, Records Management Officer, Town of Chazy, PO Box 219, Chazy, NY 12921. The form lists copies at $0.25 each.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the requester just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Town of Chazy Application for Public Access to Records PDF.
- 2
Complete The Request
Choose inspection or copies, identify the records, and enter your name, signature, representative information, phone or email, and address.
- 3
Review Copy Cost
If requesting copies, note that the form lists them at $0.25 each.
- 4
Submit To The Records Officer
Send the application to Taylore Bourdeau, Records Management Officer, Town of Chazy, PO Box 219, Chazy, NY 12921.
Frequently asked questions
- Do I need a notary for this application?
- No. The application has a signature and date line but no notary block or sworn attachment. The requester signs and dates the form; no notarization is indicated.
- How do I submit the application?
- Send the completed application to Taylore Bourdeau, Records Management Officer, Town of Chazy, PO Box 219, Chazy, NY 12921. The form does not list an email address or online submission option.
- Can I request copies as well as inspection?
- Yes. The form lets you apply to inspect records or have copies. It lists copies at $0.25 each and provides space to identify the records you want.
Need something notarized?
This Application for Public Access to Records doesn’t need a notary — but if you have another Chazy form that does, a commissioned online notary can help.
