Chestnut Ridge, NY · Rockland County

No notary required

Application for Public Access to Records

This form lets people request access to or copies of records maintained by the Village of Chestnut Ridge.

What this form is

Use this form to request inspection of records maintained by the Village of Chestnut Ridge or to request copies. It asks for the agency and address, records sought, applicant contact details, and a signature and date; a separate section is for copies. The form also includes agency-use fields for decisions, fees, and denials, plus an appeal section.

Who needs it

Anyone seeking to inspect or obtain copies of records maintained by the Village of Chestnut Ridge can complete this request form.

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 document is signed and dated without a notary; it does not identify a notarized attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Application for Public Access to Records PDF.

  2. 2

    Complete The Request

    Identify the agency and records you seek, provide your contact information, and sign and date the form.

  3. 3

    List Copy Requests

    If you want copies, list the records in the copies section and note the form's copy fee information.

  4. 4

    Submit The Form

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

Frequently asked questions

Do I need a notary for the public records request?
No. This document is signed and dated without a notary, and it does not identify a notarized attachment or related step.
How do I submit the public records request?
Submit it to the city department named on the form; check the city website for current contact details.
Can I request copies of records with this form?
Yes. The form includes a section to list records for copies. It states that photocopies made at Village Hall cost $0.25 per page and that larger documents must be sent out and prepaid.
What information does the form ask for?
It asks for the agency and address, records sought, your name and contact details, and your signature and date. It also provides a separate section for copy requests.

Need something notarized?

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