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2. First Name*
3. Last Name*
5. City*
6. State*
7. Zip Code*
9. Telephone Number*
10. Email Address*
12. Please check appropriate department*

    1. Administration

    1. Police
14. Records Requested*
    Please list each of the records that you are requesting. You must identify these records with enough detail so that we can determine whether we have them.
16. Please check one of the following boxes*

    1. I want to look at the records only
    2. I want a copy of the records (fees apply)
    3. I want a certified copy of the records (additional fee)
17. Fee Schedule
    Open Records Fee Schedule
19. Signature of person making the request
    The Borough will respond to this request within five (5) working days.
21. Do you agree?*

    By clicking "I Agree" you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

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