What does the Freedom of Information Request Form do?

It lets you request inspection of Town of Walworth records and choose paper, electronic/digital, or in-person access.

Do I need a notary for the Freedom of Information Request Form?

No. Sign and date the form and certify the stated purpose; it lists no notarized attachment or related step.

How do I submit the Freedom of Information Request Form?

Address it to Records Access Officer Nadine Seppeler at 3600 Lorraine Drive, Walworth, NY 14568. Call for an appointment if requesting in-person access.

Is there a charge for paper copies?

The form states that paper copies and electronic printouts are subject to a fee of $0.25 per page.

Walworth, NY · Wayne County

No notary required

Freedom of Information Request Form

Walworth residents and other requesters use this form to ask the Town of Walworth to inspect or receive copies of public records.

What this form is

Use this form to request inspection of Town of Walworth records and indicate whether you want paper, electronic/digital, or in-person access. It asks for a description of the records, requester and organization details if applicable, contact information, and a certification about the purpose of the examination. Paper copies or electronic printouts may incur a fee of $0.25 per page.

Who needs it

Anyone seeking to inspect or receive copies of Town of Walworth records can use this form to describe the records and provide their contact details.

How to submit it

Address the request to Records Access Officer Nadine Seppeler at Town of Walworth, 3600 Lorraine Drive, Walworth, NY 14568. For in-person access, the form says to call for an appointment.

About notarization

This form is signed and dated without a notary; the requester certifies the stated purpose, and no notarized attachment or related step is listed.

How to submit this form

1
Download The Form
Download the Town of Walworth Freedom of Information Request Form.
2
Complete The Request
Describe the records, select a delivery option, and fill in your name and contact information.
3
Sign And Date
Sign and date the form and complete its certification about the purpose of the examination.
4
Send The Request
Address it to the Records Access Officer at 3600 Lorraine Drive, Walworth, NY 14568; call for an in-person appointment.

Frequently asked questions

What does the Freedom of Information Request Form do?: It lets you request inspection of Town of Walworth records and choose paper, electronic/digital, or in-person access.
Do I need a notary for the Freedom of Information Request Form?: No. Sign and date the form and certify the stated purpose; it lists no notarized attachment or related step.
How do I submit the Freedom of Information Request Form?: Address it to Records Access Officer Nadine Seppeler at 3600 Lorraine Drive, Walworth, NY 14568. Call for an appointment if requesting in-person access.
Is there a charge for paper copies?: The form states that paper copies and electronic printouts are subject to a fee of $0.25 per page.

Need something notarized?

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