Asharoken, NY · Suffolk County
Appeal a Written Denial (Sample)
This sample appeal letter helps people challenge a denial of access to records under the Freedom of Information Law.
What this form is
Use this sample to appeal a denial of access to records after making a records request. It asks for the request date, the records access officer’s name and address, a description of the denied records, and any reasons for disagreeing with the denial.
Who needs it
A person whose request for access to records was denied can use this sample to write an appeal to the agency’s appeals officer.
How to submit it
Address the appeal to the agency’s appeals officer at the agency address. The document says appeals and the determinations that follow are to be sent to the Committee on Open Government at the listed address.
About notarization
This document is signed without a notary; it asks the signer to sign and provide their name and address.
How to submit this form
- 1
Download The Sample
Download the sample appeal letter.
- 2
Complete The Appeal
Fill in the request date, records access officer details, denied records, and any reasons for disagreeing with the denial.
- 3
Address And Sign The Letter
Address the appeal to the agency’s appeals officer, then sign and provide your name and address.
- 4
Send The Appeal
Send the appeal to the agency’s appeals officer; the document directs that appeals and determinations also be sent to the Committee on Open Government.
Frequently asked questions
- Do I need a notary for an appeal of a written denial?
- No. This sample asks for a signature, name, and address, but has no notary block or notarized attachment.
- How do I submit an appeal of a written denial?
- Address the appeal to the agency’s appeals officer at the agency address. The document also says appeals and determinations are to be sent to the Committee on Open Government.
- What information does the sample appeal ask for?
- It asks for the date of the records request, the records access officer’s name and address, a description of the denied records, and any reasons for disagreeing with the denial.
Need something notarized?
This Appeal a Written Denial (Sample) doesn’t need a notary — but if you have another Asharoken form that does, a commissioned online notary can help.