MAIN FAX 609/953-4087
www.medfordtownship.com ADMIN.
& FINANCE FAX 609/714-1790
CLERK FAX 609/654-2451
CONSTRUCTION FAX 609/953-7720
RECREATION FAX 609/654-6536
PLANNING & ZONING FAX 609/714-2109
PUBLIC WORKS FAX 609/714-0034
REQUEST FOR PUBLIC RECORDS
SEE INSTRUCTIONS ON OTHER SIDE
Name: ________________________________________________________________________________
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: __________________
[____] 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 the greater of $.25 per name or $10.00
A request for a copy of
Public Records should be submitted in this form which has been adopted by the
Municipal Clerk as the Custodian of Records. Some records will require time to
compile and to make the copies requested, but normally be available during
normal business hours and within seven (7) business days. If any document or
copy which has been requested is not public record or cannot be provided within
the seven (7) business days, you will be provided with a response with that
information within seven (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 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 fee assessed for the duplication of a printed record shall
be: $0.05 per page; legal size $0.07 per page; drawings $4.50 per page;
for a police accident report there is an additional fee when the 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
that 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’s personnel files, police
investigation records, public assistance files or other matters in which there
is a right of privacy or confidentiality or 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 estimate cost. The applicant
hereby certifies that he or she has not been convicted of any indictable
offense under the laws of this State, and other State or the
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 when the anticipated cost of
reproduction exceeds $5.00]
______________________________________ ________________________________
Applicant Municipal Official
Date:
_________________________________ Date:
___________________________