Cambridge, NY · Washington County
Application for Public Access to Records
This application lets a person request to inspect a record from an agency by providing the record description and the applicant’s contact information.
What this form is
Use this application to request inspection of a record from an agency. It asks for the agency name and address, the record to inspect, the applicant’s signature, date, and mailing address. The form also includes an agency-use section for approval or denial and a section to appeal a denial to the head of the agency.
Who needs it
Anyone seeking to inspect a record from an agency can use this application to describe the record and provide their contact information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The application names the records access officer.
About notarization
This application is signed and dated without a notary; the form shows no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Public Access to Records.
- 2
Complete The Application
Enter the agency name and address, describe the record you want to inspect, and provide your mailing address, signature, and date.
- 3
Check The Form
The form shows no required attachment; its approval, denial, and appeal sections are included for agency use or an appeal.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Public Access to Records Application do?
- It lets you apply to inspect a record from an agency. The form asks you to identify the agency and record and provide your signature, date, and mailing address.
- Who can use this application?
- Anyone seeking to inspect an agency record can use the application. It includes fields for the applicant’s mailing address and a description of the record.
- Do I need a notary for the Public Access to Records Application?
- No. This application is signed and dated without a notary, and the form shows no notarized or sworn attachment.
- How do I submit the Public Access to Records Application?
- Submit it to the city department named on the form; check the city website for current contact details. The application names the records access officer.