TOWNSHIP OF DENNIS
571 Petersburg Road, P.O.
Box 204
Dennisville, NJ 08214
(609) 861-9700 – (609)
861-9719 fax
FOR MUNICIPAL USE ONLY
Date Received:
_____________________________________ Date of Response:
___________________________________
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. 40:55D-12,
the fee is greater of $ .25 per name or $10.00
Page 1
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:
·
Immediate
access is ordinarily available for to budgets, bills, vouchers, contracts,
including collective negotiations agreements and individual employment
contracts, and public employee salary and overtime information. Minutes of
public meetings will be generally available immediately after the minutes have
been approved.
·
Records
which are not readily available or which will require a search of records will
be made available as soon as possible and the applicant will be provided with
an interim report within seven (7) business days indicating the time which will
be required to provide the records.
·
Except
as otherwise provided by law or regulation, the fees assessed for the
duplication of a printed record shall be: first page to tenth page, $0.75 per
page; eleventh page to twentieth page, $0.50 per page; all pages over twenty,
$0.25 per page; for a police accident report there is an additional fee when
request is not made in person of $5.00 for the first 3 pages and $1.00 for each
additional page, as provided by N.J.S.A. 39:4-131.
·
Where
a request is for a copy in a format other than a photocopy, reasonable efforts
will be made to provide the information in the format requested. The cost will
be based on the costs of producing the format requested.
·
Where
a legal determination must be made as to whether records are “public records”
as provided by law, the request will be reviewed by the Municipal Attorney.
The
term “public records” generally includes those records determined to be public
in accordance with N.J/S.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 inter-agency 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. 47:1A-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]
______________________________________________
_____________________________________________
Date:
________________________________________ Date: _______________________________________