Palmyra, NY · Wayne County
Application for FOIL Request
Palmyra residents and other requesters use this application to ask the Village Clerk-Treasurer to inspect records, receive copies, or request video files.
What this form is
Use one application per request to ask to inspect records, obtain copies, or receive video files from the Village of Palmyra. The form asks you to describe the records and provide your name, signature, date, phone number, mailing address, and email address. It lists copies at $0.25 per page and video files at up to $10.00 per USB drive, depending on storage needs.
Who needs it
Anyone requesting to inspect Village of Palmyra records, obtain copies, or request video files can use this application.
How to submit it
Send the application to the Village of Palmyra Clerk-Treasurer, 144 East Main Street, Palmyra, New York 14522, or email [email protected].
About notarization
This application is signed and dated without a notary; it lists no sworn or notarized attachment, so the requester just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Palmyra Application for FOIL Request PDF.
- 2
Complete the Request
Choose whether you want to inspect records, receive copies, or request video files, then describe the records and provide your contact details.
- 3
Sign and Date
Sign and date the application. The form does not include a notary block.
- 4
Submit to the Village
Send the completed application to the Village Clerk-Treasurer by mail or email using the contact details on the form.
Frequently asked questions
- Do I need a notary for the Palmyra FOIL request application?
- No. The application has a signature and date line but no notary block or sworn attachment; the requester just signs and dates it.
- How do I submit the Palmyra FOIL request application?
- Send it to the Village of Palmyra Clerk-Treasurer at 144 East Main Street, Palmyra, New York 14522, or email [email protected].
- What can I request with this application?
- You can request to inspect records, receive copies, or request video files. The form specifies one request per application.
- Does the form list costs for copies or video files?
- Yes. It lists copies at $0.25 per page and video files at up to $10.00 per USB drive, with the drive cost depending on storage needs.
