Pine Plains, NY · Dutchess County

No notary required

Freedom of Information Law Request

Use this form to ask the Town of Pine Plains to inspect a record, providing the record requested, your reason, and your contact information.

What this form is

This form lets a requester apply to inspect a record held by the Town of Pine Plains. It asks for the requested record, the reason for the request, the requester’s name and address, and a signature; an agent’s name and address may also be provided. The form includes an agency-use section for approval or denial and an appeal section addressed to the Records Access Officer, Town Supervisor.

Who needs it

A person seeking to inspect a Town of Pine Plains record can use this form to identify the record and provide a reason for the request.

How to submit it

Address the request to the Records Access Officer; the form does not provide a mailing address, email, portal, or fee information. It identifies the Town Supervisor as the Records Access Officer for appeals.

About notarization

This document is signed without a notary; it includes no notarized or sworn attachment, so the requester just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Freedom of Information Law request form.

  2. 2

    Complete The Request

    Describe the record you want to inspect, give your reason, and fill in your name and address or your agent’s details.

  3. 3

    Sign And Date

    Sign and date the request. The form does not list any required attachments.

  4. 4

    Submit To The Town

    Address the request to the Records Access Officer; check the town website for current contact details.

Frequently asked questions

What does the Freedom of Information Law request form do?
It lets you apply to inspect a Town of Pine Plains record. The form asks you to identify the record and give a reason for the request, along with your name, address, and signature.
Who can use this records request form?
A person seeking to inspect a Town of Pine Plains record can use the form. It also has fields for an agent’s name and address if an agent is making the request.
How do I submit the Freedom of Information request?
Address your request to the Records Access Officer. The form does not list a mailing address, email, or online submission portal, so check the town website for current contact details.
Do I need a notary for the Freedom of Information request?
No. This form is signed and dated without a notary, and it does not mention a notarized or sworn attachment.

Need something notarized?

This Freedom of Information Law Request doesn’t need a notary — but if you have another Pine Plains form that does, a commissioned online notary can help.