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OPEN PUBLIC RECORDS ACT REQUEST FORM

2. BOROUGH OF EDGEWATER
   55 River Road
   Edgewater, New Jersey 07020
   Phone 201-943-1700 Fax201-943-9242
4. Important Notice: This link contains important information related to your rights concerning government records. Please read it carefully.
   Read Document
6. First Name*
7. Last Name*
9. Email Address
11. Address*
13. City*
14. State*
15. Zip*
17. Telephone*
18. Fax
20. Prefered Delivery:*

    1. Pick Up
    2. US Mail

    1. On-Site Inspect

    1. Fax

    1. Email
22. 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

    1. HAVE

    1. HAVE NOT
24. been convicted of any indictable offense under the laws of New Jersey, any other state, or the United States.
26. Signature: ____________________________________________ Date: _______________*
    By submitting this form you have consented to an electronic signature.
28. Record Request Information:*
    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.
30. Payment Information

    1. Cash

    1. Check

    1. Money Order

    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.
34. REQUEST FOR RECORDS UNDER THE COMMON LAW
    If, in addition to requesting records under OPRA, you are also requesting the government records under the common law, please check the box below. A public record under the common law is one required by law to be kept, or necessary to be kept in the discharge of a duty imposed by law, or directed by law to serve as a memorial and evidence of something written, said, or done, or a written memorial made by a public officer authorized to perform that function, or a writing filed in a public office. The elements essential to constitute a public record are that it be a written memorial, that it be made by a public officer, and that the officer be authorized by law to make it.
36. I am also requesting the documents under common law.

    1. Yes,
38. If the information requested is a "public record" under common law and the requestor has a legally recognized interest in the subject matter contained in the material, then the material must be disclosed if the individual's right of access outweighs the State's interest in preventing disclosure. Please set forth your interest in the subject matter contained in the requested material:
40. Note that any challenge to a denial of a request for records under the common law cannot be made to the Government Records Council, as the Government Records Council only has jurisdiction to adjudicate challenges to denials of OPRA requests. A challenge to the denial of access under the common law can be made by filing an action in Superior Court.
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