Piermont, NY · Rockland County
Application for Public Access to Records
This application lets people request access to Village of Piermont records and specify which records they want to inspect or copy.
What this form is
Use this application to ask the Village of Piermont for access to public records. It asks you to identify the records, indicate how many copies you want, and provide your signature, name, address, phone number, and email address. The form notes that you may inspect documents before requesting copies of selected pages.
Who needs it
Anyone seeking to inspect or request copies of records from the Village of Piermont can complete and submit this application.
How to submit it
Submit it to the Village Clerk Records Access Officer, as named on the form.
About notarization
This application is signed without a notary; the form asks for your signature and date and lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Application
Download the Application for Public Access to Records.
- 2
Identify The Records
Describe the records you want to inspect as clearly as possible.
- 3
Complete The Application
Enter your contact information, indicate the number of copies requested, and sign and date the form.
- 4
Submit To The Village
Submit the completed application to the Village Clerk Records Access Officer.
Frequently asked questions
- Do I need a notary for the Application for Public Access to Records?
- No. The application asks for your signature and date, but it has no notary block and lists no notarized attachment or sworn step.
- How do I submit the records access application?
- Submit the completed application to the Village Clerk Records Access Officer, as named on the form.
- 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 email address.
Need something notarized?
This Application for Public Access to Records doesn’t need a notary — but if you have another Piermont form that does, a commissioned online notary can help.