Black River, NY · Jefferson County
Request for Records Form
Black River residents and others use this form to request records from the Village under the Freedom of Information Law.
What this form is
Use this form to request records from the Village of Black River under the Freedom of Information Law. It asks for your contact information, preferred way to receive the information, and details that may help locate the records. The form states a fee of $0.25 per page and describes the agency’s written response options.
Who needs it
Anyone requesting to inspect records held by the Village of Black River can use this form to describe the records and provide contact details.
How to submit it
Send the request to the Board of Trustees, Village of Black River, 107 Jefferson Place, Black River, NY 13612; the form lists a fee of $0.25 per page.
About notarization
This request is signed and dated without a notary; the form lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Request for Records Form PDF.
- 2
Complete The Request
Provide your contact details, choose how you would like the information provided, and describe the records you seek.
- 3
Gather Record Details
Include dates, titles, file designations, or other information that may help the Village find the requested records.
- 4
Send It To The Village
Send the request to the Board of Trustees at 107 Jefferson Place, Black River, NY 13612.
Frequently asked questions
- Do I need a notary for the Request for Records Form?
- No. The request is signed and dated without a notary, and the form lists no notarized or sworn attachment or related step.
- How do I submit the Request for Records Form?
- Send it to the Board of Trustees, Village of Black River, 107 Jefferson Place, Black River, NY 13612. The form states a fee of $0.25 per page.
- What information should I include in a records request?
- The form asks for your name, address, phone number, email, preferred way to receive the information, and details such as dates, titles, or file designations that may help locate records.