Gouverneur, NY · St. Lawrence County
Freedom of Information Law Request Form
This form lets people request records or portions of records from the Village of Gouverneur under the Freedom of Information Law.
What this form is
Use this form to ask the Village of Gouverneur for records or portions of records and describe what you are seeking. It includes space to ask to be notified about copying fees, set a fee limit, and provide your contact information. The form identifies the Village Clerk as the requesting access officer and includes the agency address.
Who needs it
People seeking records or portions of records from the Village of Gouverneur can use this form to describe their request and provide contact information.
How to submit it
Submit it to the Village Clerk, identified as the requesting access officer, at 33 Clinton Street, Gouverneur, NY 13642.
About notarization
This document is signed without a notary; the signer just signs and dates the request.
How to submit this form
- 1
Download The Form
Download the Freedom of Information Law Request Form PDF.
- 2
Describe The Records
Identify as clearly as possible the records or portions of records you are requesting.
- 3
Complete The Request
Fill in the date, fee preference, signature, printed name, and address fields.
- 4
Submit To The Village
Submit the completed request to the Village Clerk at 33 Clinton Street, Gouverneur, NY 13642.
Frequently asked questions
- Do I need a notary for the Freedom of Information Law request?
- No. This document is signed without a notary; the signer just signs and dates the request.
- How do I submit the records request?
- Submit the completed form to the Village Clerk, identified as the requesting access officer, at 33 Clinton Street, Gouverneur, NY 13642.
- What information does the form ask for?
- It asks you to describe the records you want and provide your name, signature, address, and city, state, and ZIP code. It also includes options about copying fees.