Freedom of Information Law Request Form

Please select a department to send your request to

***To request information maintained by an independent office within Erie County Government (i.e., Board of Elections, Clerk, Comptroller, District Attorney, Legislature, and Sheriff) you must contact that office directly on how to submit a FOIL request.***

To The Department FOIL Officer:

I hereby apply to

the following records under the provisions of the Freedom of Information Law. (include as much detail about the records as you can, including relevant dates, names, descriptions, etc. .; if you request paper copies only if electronic records are not available, please so indicate)

If the cost of reproducing copies of the records does not exceed

, I agree to promptly pay the established copying fee ($0.25 per page for copies not exceeding 9 by 14 inches and actual cost of reproduction for other copies). If the cost exceeds the specified amount, please promptly notify me by email of the total cost of copying the requested records.

First Name

Last Name

Address

City

State

ZIP

Email Address

Telephone

Does your FOIL request relate to a pending claim or litigation?

Yes

If Yes, please indicate:

1. The name of the Claimant(s):

2. The Index Number and/or Erie County File #

Terms and Conditions Relating to Requests for Lists of Names and Addresses

Under the Freedom of Information Law, government agencies are permitted to require persons requesting lists of names and/or addresses to provide a certification that they will not use such lists for solicitation or fundraising purposes, and will not make the lists available to any other person for the purpose of allowing the other person to use the lists for solicitation or fundraising purposes. By checking the box at the end of this paragraph, I am certifying that I will not use such lists for solicitation or fund-raising purposes, and will not make the lists available to any other person for the purpose of allowing the other person to use lists for solicitation or fundraising purposes.

My certification that I agree to the terms and conditions above, regarding my request to obtain and/or inspect paper and/or electronic record