Do I need a notary for the Bergen public records request?

No. The request is signed and dated without a notary, and the form does not identify any notarized attachment or related step.

How do I submit the Bergen public records request?

Submit the completed request to Teresa Robinson, Records Access Officer, Town of Bergen, at 10 Hunter Street, P.O. Box 249, Bergen, NY 14416.

What information does the application ask for?

It asks you to identify the records, state how many copies you want, and provide your signature, printed name, address, daytime phone number, and any party you represent.

Bergen, NY · Genesee County

No notary required

Application for Public Access to Records

Town of Bergen residents and others use this application to request access to public records or copies of records held by the town.

What this form is

This application lets a person ask to inspect records held by the Town of Bergen and request copies of selected records. It asks for the records sought, the number of copies requested, and the requester’s contact information and signature. The form also provides space for the town to record its decision and any reason for denying access.

Who needs it

Anyone seeking to inspect Town of Bergen records or request copies can use this application.

How to submit it

Submit the completed request to Teresa Robinson, Records Access Officer, Town of Bergen, 10 Hunter Street, P.O. Box 249, Bergen, NY 14416.

About notarization

This request is signed and dated without a notary; the form does not identify any notarized attachment or related step.

How to submit this form

1
Download the Application
Download the Town of Bergen application for public access to records.
2
Complete the Request
Identify the records you want, state the number of copies requested, and fill in your contact details.
3
Sign and Date the Form
Sign and date the application; the form does not identify any required attachment.
4
Submit to the Town
Submit the completed request to the Records Access Officer at the address shown on the form.

Frequently asked questions

Do I need a notary for the Bergen public records request?: No. The request is signed and dated without a notary, and the form does not identify any notarized attachment or related step.
How do I submit the Bergen public records request?: Submit the completed request to Teresa Robinson, Records Access Officer, Town of Bergen, at 10 Hunter Street, P.O. Box 249, Bergen, NY 14416.
What information does the application ask for?: It asks you to identify the records, state how many copies you want, and provide your signature, printed name, address, daytime phone number, and any party you represent.

Need something notarized?

This Application for Public Access to Records doesn’t need a notary — but if you have another Bergen form that does, a commissioned online notary can help.