Holland, NY · Erie County
Request for Examination
Use this form to ask the Town of Holland to let you examine public records; anyone seeking records may submit a written request.
What this form is
This form lets you request to examine records held by the Town of Holland. The town’s regulations say requests must be in writing and reasonably describe the records sought. The form asks what record you want, your signature and date, whether you represent someone, and your mailing address; providing dates or file details can help identify the records.
Who needs it
Anyone seeking to examine records held by the Town of Holland can use this form to make a written request.
How to submit it
Send the written request to the Record Access Officer (Town Clerk), Town of Holland, Holland, NY 14080; the form lists Town Hall at 47 Pearl Street, PO Box 36.
About notarization
This document is signed without a notary; it lists no sworn attachment or related step, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Town of Holland Request for Examination PDF.
- 2
Describe The Records
Identify the records you want to examine; include helpful dates or file details if available.
- 3
Complete And Sign
Fill in the requested information, then sign and date the form.
- 4
Submit The Request
Send the written request to the Record Access Officer (Town Clerk), Town of Holland, Holland, NY 14080.
Frequently asked questions
- Do I need a notary for the Request for Examination?
- No. This document is signed without a notary, and it lists no sworn attachment or related notarized step; the signer just signs and dates it.
- How do I submit the Request for Examination?
- Submit the written request to the Record Access Officer (Town Clerk), Town of Holland, Holland, NY 14080. The form also lists Town Hall at 47 Pearl Street, PO Box 36.
- What information should I include in my records request?
- Describe the records you seek. The form asks for your signature, date, whether you represent someone, and mailing address; dates and file details may help identify records.
Need something notarized?
This Request for Examination doesn’t need a notary — but if you have another Holland form that does, a commissioned online notary can help.