This form is the ONLY acceptable method of making a records request (FOIL request) via the internet. Requests made via direct emails or on other forms will not be processed or responded to.

Note: an asterisk (*) indicates a required field.

What records would you like sent back to you via email (Include as much detail as possible such as full names, dates, descriptions, etc...): *0 / 300

Cost of paper copies. Please note that electronic records are provided at no charge.:Please inform me of the cost of providing paper copies of the following records (Include as much details as possible such as full names, dates, descriptions. etc...)

Records Inspection:Inform me of the appropriate time during business hours for me to inspect the following records prior to obtaining copies

What records would you like to inspect before receiving copies (Include as much detail as possible such as full names, dates, descriptions, etc...): *0 / 300

For records that can not be emailed:For records that can not be emailed to me, please inform me by email of the portions that can be emailed and advise me of the cost for reproducing the remainder of the records requested

What records would you like paper copies of (Include as much detail as possible such as full names, dates, descriptions, etc...): *0 / 300

Other types of Media.:Please inform me of the cost of having the records supplied to me on a CD-ROM

If your request is too broad or does not reasonably describe the records, we will contact you via email so that you may clarify your request, and when appropriate, indicate the manner in which recordsIf my request must be modified, I would prefer to be contacted by phone at this number:

Full Name *

Email Address *

Street Address *

Apartment, suite, etc

City

State

ZIP Code

Denied Request:If for any reason any portion of my request is denied, please inform me of the reason in writing and provide the name, address and email of the person or body to whom an appeal should be directed

If you would like to receive an email receipt of this form submission, please enter a valid email address in the field below. *

HEADQUARTERS

50 Cold Spring Rd, Syosset, NY 11791
(516) 921-0728

STATION 2

156 Woodbury Rd, Woodbury, NY 11797
Phone: (516) 921-0728

STATION 3

205 S Oyster Bay Rd, Syosset, NY 11791
Phone: (516) 921-0728