FOIL: APPLICATION FOR PUBLIC ACCESS TO RECORDS TO: TOWN CLERK
(* Required Information)
Your Name:	*
Address1:
Address2:
City:
State:
Zip:
Representing:
Email:	*
Phone#:
I hereby apply to inspect the following record:
Security Code
Enter Code	*(enter code exactly as it appears above; case sensitive)

Please Note:

IN ORDER TO EXPEDITE YOUR REQUEST, PLEASE INCLUDE THE FOLLOWING INFORMATION:

• Describe the RECORDS you wish to inspect.
  (BE VERY SPECIFIC AS TO WHICH RECORDS YOU ARE REQUESTING TO AVOID DELAYS.)
• If you represent a business or agency, please specify.

Office Phone - (845) 639-2010  Fax - (845) 639-2008