Old Brookville, NY · Nassau County

No notary required

Freedom of Information Request

This form lets people request information from the Village of Old Brookville and provide their contact details, reason for the request, signature, and date.

What this form is

Use this form to request information from the Village of Old Brookville. It asks for your name, representation, address, phone number, email address, the information requested, and your reason for requesting it, along with your signature and date. The form also lists copying charges for building plans and standard-size documents, including a handling charge for building plans.

Who needs it

Anyone requesting information from the Village of Old Brookville can use this form to describe the request and provide contact details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This request is signed and dated without a notary; the form lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Village of Old Brookville Freedom of Information Request form.

  2. 2

    Complete The Request

    Enter your contact details, describe the information requested, and state your reason for requesting it.

  3. 3

    Review Copying Charges

    If requesting copies, review the listed charges and fill in the page totals and payment amounts.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the Freedom of Information Request?
No. The form asks for a signature and date but has no notary block; it lists no notarized attachment or sworn step.
How do I submit the Freedom of Information Request?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the request form ask for?
It asks for your name, representation, address, phone number, email address, the information you seek, your reason for requesting it, your signature, and the date.
Does the form list copying charges?
Yes. It lists charges for copying building plans and standard-size documents. Building plans also have a handling charge, and the form says payment is payable in advance.

Need something notarized?

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