Palmyra, NY · Wayne County

No notary required

FOIL Request Form

Palmyra residents and other requesters use this form to ask to inspect or obtain copies of records held by the town.

What this form is

The form lets a requester identify records they want to inspect or copy, provide contact information, and set maximum amounts they are willing to pay for copies or a search. It also includes a section for the town to record its decision and reasons for denial, plus a space to appeal a denial to the Town Board.

Who needs it

Anyone asking the Town of Palmyra to inspect or obtain copies of records can use this form to describe the records requested.

How to submit it

The form lists the Town Clerk's email, phone, fax, and address at 1180 Canandaigua Road, Palmyra, NY 14522. It states copies cost $.25 per page and a search may cost $13.00 per hour.

About notarization

This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the requester just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the FOIL Request Form and review the fields before completing it.

  2. 2

    Complete the Request

    Enter your contact information and describe the record you want to inspect or copy.

  3. 3

    Set Cost Limits

    If desired, check the copies box and state maximum amounts you are willing to pay for copies or a search.

  4. 4

    Submit to the Town

    Send the completed request using the Town Clerk contact information listed on the form.

Frequently asked questions

Do I need a notary for the FOIL Request Form?
No. The form has no notary block or notarized attachment; the requester signs and dates it.
How do I submit the FOIL Request Form?
The form lists the Town Clerk's email, phone, fax, and address at 1180 Canandaigua Road, Palmyra, NY 14522.
What information does the FOIL Request Form ask for?
It asks for your name, phone, address, and a description of the record you want to inspect or copy. You can also state maximum amounts for copy and search costs.
Does the form list copy or search costs?
Yes. It states that copies cost $.25 per page and that a search may be charged at $13.00 per hour.

Need something notarized?

This FOIL Request Form doesn’t need a notary — but if you have another Palmyra form that does, a commissioned online notary can help.