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TOWN OF KINGSTON
906 Sawkill Road, Kingston, NY 12401
Phone: (845) 336-8853 x 13 • Fax: (845) 336-5660 • Email: clerk@tokny.us
APPLICATION FOR PUBLIC ACCESS TO RECORDS

PROPER SERVICE OF THIS FORM: DELIVER THIS FORM AND ANY ACCOMPANYING FORMS TO THE CONTACT LISTED ABOVE
I wish to inspect the following record(s):
• Identify records you are interested in as specific and clearly as possible
• Identify the address and/or S-B-L of the property

The department your FOIL pertains to may allow you to inspect the documents in person.

Signature is required.

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FOR AGENCY USE ONLY
APPROVED: Date: ____________ Number of Copies: ___________ Charge: $__________
DENIED (for the reason(s) checked below)
_____ Exempted by statute other than Freedom of Information
_____ Unwarranted invasion of personal privacy
_____ Would impair contract awards or collective bargaining agreements
_____ Trade secret; confidential commercial information
_____ Law enforcement records
_____ Would endanger the life or safety of any person
_____ Interagency or intra-agency materials
_____ Record is not maintained by this agency
_____ Record of which this agency is legal custodian cannot be found Other (specify)
_____ Other (specify) ___________________________________________________________
Any person denied access to records may appeal the denial within 30 days of the denial. Such appeals should be addressed to:
Supervisor of the Town of Kingston, 906 Sawkill Road, Kingston, NY 12401.