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Government Records Request Form

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Steps

  1. 1. Requestor Information(current)
  2. 2. Requesting Access to Government Records Under the New Jersey Open Public Records Act

  • Requestor Information

    18. Preferred Delivery*
    20. Under penalty of N.J.S.A. 2C:28-3, I certify that I have / have not been convicted of any indictable offense under the laws of New Jersey, any other state, or the United States.*
    22. Purpose: use the request government records for a commercial.*
    24. Seeking records in connection with a legal proceeding.*
    26. Requestor Signature*

    30. Please be as specific as possible in describing the records being requested. Also, please note that your preferred method of delivery will only be accommodated if the custodian has the technological means and the integrity of the records will not be jeopardized by such method of delivery.

    32. Please read the following conditions for a records request and acknowledge by checking the box yes.*
    34. DEPOSITS

      The custodian may require a deposit against costs for reproducing documents whenever the custodian anticipates that the documents requested will cost in excess of $5 to reproduce. N.J.S.A. 47:1A-5(f).

      Where a special service charge is warranted under OPRA, that amount will be communicated to you as required under the statute. You have the opportunity to review and object to the charge prior to it being incurred. If, however, you approve of the fact and amount of the special service charge, you may be required to pay a deposit or pay in full prior to reproduction of the documents.

    35. YOUR REQUEST FOR RECORDS IS DENIED FOR THE FOLLOWING REASON(S):

      (To be completed by the Custodian of Records – check the box of the numbered exemption(s) as they apply to the records requested. If multiple records are requested, be specific as to which exemption(s) apply to each record. Response is due to requestor as soon as possible, but no later than seven (7) or fourteen (14) business days. See page 5 for additional response details)