Bergen, NY · Genesee County
Freedom of Information Law Request
This form lets people request records from the Village of Bergen and identify the records they want the village to provide.
What this form is
Use this form to request records or portions of records from the Village of Bergen under the Freedom of Information Law. It asks you to describe the records, provide your name and address, sign the request, and set a copying-fee amount above which you want to be informed before filing. The form also includes a village approval signature line.
Who needs it
Anyone seeking records or portions of records from the Village of Bergen can use this form to describe and submit their request.
How to submit it
Address the request to Cortney W. Gale, Administrator, Village of Bergen, PO Box 100, 11 North Lake Avenue, Bergen, NY 14416. The form does not specify a submission method.
About notarization
This document is signed without a notary; the requester signs and dates the request, and the form lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Freedom of Information Law Request form.
- 2
Describe The Records
Identify the records or portions of records you want as clearly as possible.
- 3
Add Your Contact Details
Provide your name and address, choose a copying-fee amount for advance notice, then sign and date the request.
- 4
Send The Request
Address the request to Cortney W. Gale, Administrator, Village of Bergen, PO Box 100, 11 North Lake Avenue, Bergen, NY 14416.
Frequently asked questions
- What is the Freedom of Information Law Request form for?
- It lets you request records or portions of records from the Village of Bergen and describe the records you want.
- What information does the request ask for?
- The form asks you to identify the records, provide your name and address, sign and date the request, and set a copying-fee amount for advance notice.
- Do I need a notary for the Freedom of Information Law Request?
- No. This request is signed and dated without a notary, and the form lists no notarized or sworn attachment.
- How do I submit the Freedom of Information Law Request?
- Address it to Cortney W. Gale, Administrator, Village of Bergen, PO Box 100, 11 North Lake Avenue, Bergen, NY 14416. The form does not specify a submission method.