East Rochester, NY · Monroe County

No notary required

Freedom of Information Request

This form lets East Rochester residents and other requesters ask the Town/Village for specific records under the Freedom of Information Law.

At a glance

Issued by
City of East Rochester · East Rochester, Monroe County, New York
Notarization
Not required: file this form without a notary.
Official source
eastrochesterny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this request to identify records you want from the Town/Village of East Rochester, including relevant dates, months, or titles. The form asks for your name, phone number, address, email, city, state, ZIP code, signature, and date. It says the Town/Village will try to provide information when possible and describes response and record-production timeframes under the law.

Who needs it

Anyone seeking specific records from the Town/Village of East Rochester can use this form to make a Freedom of Information request.

How to submit it

Send the request to Martin G. D’Ambrose, Administrator and Records Access Officer, at 317 Main Street, Suite 2000, East Rochester, New York 14445, or [email protected].

About notarization

This document is signed and dated without a notary; it identifies no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Freedom of Information Request form.

  2. 2

    Complete The Request

    Describe the records specifically, including months, dates, or titles, and provide the requested contact information.

  3. 3

    Sign And Date

    Sign and date the request. The document identifies no attachment to gather.

  4. 4

    Submit To The Town/Village

    Send the request to the Records Access Officer at the address or email listed on the form.

Frequently asked questions

Do I need a notary for the Freedom of Information Request?
No. The form asks you to sign and date the request and identifies no notarized attachment or sworn step.
How do I submit the Freedom of Information Request?
Send it to the Administrator and Records Access Officer at the listed Main Street address or email it to [email protected].
What records should I identify in the request?
Identify the records specifically, including details such as months, dates, or titles, as requested on the form.
What information does the form ask for?
It asks for your name, phone number, address, email, city, state, ZIP code, signature, and date.

Need something notarized?

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