N.Y. Comp. Codes R. & Regs. tit. 21, Appendices, app 25-A

Current through Register Vol. 46, No. 50, December 11, 2024
Appendix 25-A

APPLICATION FOR INFORMATION FROM CDTA AND ITS SUBSIDIARIES

PURSUANT TO SECTION 88 OF THE PUBLIC OFFICERS LAW

Request for Public Information

DATE:

Name:

Address:

Telephone Number:

Ogranization (if any):

Name of News Medium (if applicable):

Address of News Medium (if applicable):

Description of record to which access is requested or copy made available:

# of pages x $. $ ________

# of pages x $. $ ________

Total charge $ ________

N.Y. Comp. Codes R. & Regs. tit. 21, Appendices, app 25-A