TOWNSHIP OF BOONTON

 155 POWERVILLE ROAD

BOONTON TOWNSHIP, NJ 07005

973-402-4002 FAX 973-402-4013

 

REQUEST FOR ACCESS TO GOVERNMENT RECORDS

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FOR MUNICIPAL USE ONLY

 

Date Received:                                                     Date of Response:

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SEE INSTRUCTIONS ON PAGE 2

 

Name:­_____________________________________________________________________

 

Address: ­__________________________________________________________________

 

                ___________________________________________________________________

 

Telephone [Day]______________________________

 

 Information Requested:

 

[    ] Copy of Minutes [specify board or entity, date, topic or other identifying information] ___________________

               

 

[    ] Copy of Ordinance or Resolution [specify date, number, or other identifying information]

                _____________________________________________________________________________________

 

                _____________________________________________________________________________________

[    ] Police Accident Report                               Fee:                                                        

Identify Accident:______________________________________________________________________

 

[    ] Other [Specify] _____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

[    ] License Information [Specify]________________________________________________________________

 

_____________________________________________________________________________________________

 

Information on a Specific Property  Address:________________________________________________

 

BLOCK:  ______     LOT:______

[   ] Municipal Lien Search                Fee: $10.00

Municipal Lien searches are provided by the designated search officer and will be provided within 15 days after the Request is received and the fee paid, as provided in N.J.S.A. 54:5-11, et seq.

[   ] List of Property Owners within 200'

       Fee: As provided in N.J.S.A. 40:5513-12, the fee is greater of $.25 per name or $10.00

 

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A request for access to or for a copy of Government records should be submitted on this form which has been adopted by the Municipal Clerk as the Custodian of records. Some records will be immediately available during normal business hours. Some records will require time to compile and to make the copies requested, but will normally be available during normal business hours and within (7) business days. If any document or copy which has been requested is not a public record or cannot be provided within (7) business days, you will be provided with a response with that information within the (7) business days. Some records requested have specific fees or other response times established by statute. There is no fee involved in simply inspecting a document during normal business hours. This request may be filed electronically. In general:

 

The term "public records" generally includes those records determined to be public in accordance with NJIS.A. 47:1A-1. The term does not include employee personnel files, police investigation records, public assistance files or other matters in which there is a right of privacy or confidentiality or inter­agency or intra-agency advisory, consultative, or deliberate material or other material which is specifically exempted by law.

The applicant hereby acknowledges receipt of a copy of this form with the date on which the information is expected to be available and the estimated cost. The applicant hereby certifies that he or she has not been convicted of any indictable offense under the laws of this State, any other state or the United States and is not seeking government records containing personal information pertaining the victim or the victim's family as provided by N.J.S.A. 47JA-1 et seq..

This form, when signed by the municipal official shall constitute a receipt for any deposit received.

 

The information requested will be ready on_________________________________________.

Estimated Number of Pages                         _________________________________________.

Estimated Cost                                                 _________________________________________.

Deposit                                                              _________________________________________.

[required where the anticipated cost of reproduction. exceeds $5.00]

 

 

_______________________________________                     __________________________________

Applicant                                                                                              Municipal Official

 

Date:_________________                                                                               Date: ____________________

http://www.boontontownship.com/

 

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