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OPRA- Request for Public Records Form

2. As per N.J.S.A. 47:1A-1 Government Records shall be readily accessible for inspection, copying or examination by the citizens of this state with certain exceptions for the protection of public interest

   As per N.J.S.A. 47:1A-1 Government Records shall be readily accessible for inspection, copying or examination by the citizens of this state with certain exceptions for the protection of public interest

4. Contact Information

6. First Name*

7. Last Name*

9. Company Name

   If not applicable, please note "N/A"

10. Address of Applicant*

12. City*

13. State*

14. Zip*

16. Phone Number*

17. Email Address*

19. Block

20. Lot

21. Property Address

23. Information Requested:
    Check the public record(s) that you would like and provide descriptive detail to help properly identify the requested document.

    Check the public record(s) that you would like and provide descriptive detail to help properly identify the requested document.

25. Property

    1. Open Permits - Building/Construction
    2. Closed Permits - Building/Construction
    3. Open Permits - Land Use
    4. Closed Permits - Land Use
    5. Surveys/ Site Plans (most recent)

26. Property Documents Requested

    Please provide any additional information or detail(s) that will assist the department(s) in providing the responsive records you seek.

28. Miscellaneous

    Please describe the records sought in a way that will permit the Record Custodian to determine which department to forward the request to. Be as specific as possible identifying type of records, parties to correspondences, subject matter, date range. Request for "any and all" are generally considered overly broad an may require clarification. Please also note, that questions will not be answered. You must identify a specific government record. OPRA is not designed as a question and answer.

30. Medium to Receive Document(s)*

    1. Review requested documents in office
    2. Email Requested documents
    3. Hard Copies (fee associated)
    4. Other

    Please note, some of the Building and Land Use files may be too large to email and we ask that you review the requested documents in the office. In addition, 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 method of delivery

32. Convictions*

    Please indicate below if you have or have not been convicted of any indictable offense under the laws of New Jersey, any other state or the United States as per N.J.S.A. 2C: 28-3

    1. Have been convicted of an indictable offence
    2. Have not been convicted of an indictable offence
34. Acknowledgement of OPRA's Intended Use*

    1. By checking this box I acknowledge OPRA is not a Q&A forum

    OPRA is not designed as a question and answer forum, questions will not be addressed through the Open Public Records Act. If you have questions regarding the responsive records or questions, the respective departments may be able to answer your questions by giving them a call or emailing them directly. Please click on the link to view the staff directory http://www.wallnj.com/directory.aspx

36. Signature*

37. Date*

39. Copy Information
    Cost per page of photo copies: 8 1/2 x 11, letter size paper- $00.05 8 1/2 x 14, legal size paper- $00.07.

    Cost per page of photo copies: 8 1/2 x 11, letter size paper- $00.05 8 1/2 x 14, legal size paper- $00.07.

41. Requirements to Fulfill a Request
    As per N.J.S.A. 47:1A-1 the custodian of records has seven (7) business days to respond to a request for public records. Day one (1) begins the following business day of the custodian's receipt of the request.

    As per N.J.S.A. 47:1A-1 the custodian of records has seven (7) business days to respond to a request for public records. Day one (1) begins the following business day of the custodian's receipt of the request.

42. Right to Appeal
    The requester has a right to challenge a decision by the public agency that has denied access to a public record by appealing to the Government Records Council or the New Jersey Superior Court. If your request is denied, a statement of the procedures will be detailed in an email from the Records Custodian.

    The requester has a right to challenge a decision by the public agency that has denied access to a public record by appealing to the Government Records Council or the New Jersey Superior Court. If your request is denied, a statement of the procedures will be detailed in an email from the Records Custodian.

46. For Township Use Only
    Please do not make notations below this line. The Records Custodian will advise if any of the below are applicable.

    Please do not make notations below this line. The Records Custodian will advise if any of the below are applicable.

48. Fees for Reproduction

    1. The record will be made available by _ _/_ _/ _ _
    2. The fee/ deposit required for this record is $

49. Reason for Denial

    As per N.J.S.A. 47:1A-1 the Record Custodian must provide the legal basis for the denial of access or denial in part.

51. Signature of Records Custodian

    The Records Custodian will sign that the request has been fulfilled or denied

52. Date

    Records Custodian will note the date the request has been fulfilled or denied

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field