Electronic Request for Public Access to Appeals Form – Champlain Valley Educational Services

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Electronic Request for Public Access to Appeals Form

NOTICE: You have a right to appeal a denial of this application within 30 days of receipt

I hereby apply to appeal the following record(s) under FOIL if such record(s) is (are) maintained and is (are) legally accessible. Please describe the record(s) sought. If possible, supply a date and any other information that will help locate the record(s). *

How would you like to receive the record(s)

E-mail
Copies of the record(s) can be obtained upon payment of twenty-five cents ($.25) per page, or the actual cost of reproduction if in excess of 8 1/2 x 14" in size. Check must be made payable to the "BOCES Treasurer" and sent to Clinton-Essex-Warren-Washington BOCES PO Box 455, 1585 Military Turnpike Road Plattburgh, NY 12901 Attn: Records Access Officer

Email *

Name *

First

Last

Address *

City *

State *

Zip *

Phone (with area code) *

Date *

Applicant's Initials *

Message

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