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OPEN PUBLIC RECORDS ACT REQUEST FORM

  1. BOROUGH OF EDGEWATER
    55 River Road
    Edgewater, New Jersey 07020
    Phone 201-943-1700 Fax201-943-9242

  2. Prefered Delivery:*

  3. If you are requesting records containing personal information, please check of one: Under penalty of N.J.S.A. 2C:28-3 I certify that I

  4. been convicted of any indictable offense under the laws of New Jersey, any other state, or the United States.

  5. By submitting this form you have consented to an electronic signature.

  6. Please be specific as possible in describing the records being requested. Also, please note that your preferred method of delivery will only be accommodated if the custodian has the technological means and the integrity of the records will not be jeopardized by such means of delivery.

  7. Payment Information

    Select a Payment Method
    Fees:
    Letter size packages - $0.05 per page
    Legal size: pages - $0.07 per page
    Other Materials: (CD, DVD, etc) - actual cost
    Delivery: Delivery / postage fees additional depending on delivery type.
    Extras: Special service charge dependent upon request.

  8. Leave This Blank:

  9. This field is not part of the form submission.