N.Y. Comp. Codes R. & Regs. tit. 13, § 120.10 – Requests for records.

(a) Persons appearing in person to request access to records will be required to complete the following request form:
APPLICATION FOR PUBLIC ACCESS TO RECORDS
RECORDS ACCESS OFFICER
Name of Agency Request Number
Address
I HEREBY APPLY TO INSPECT THE FOLLOWING RECORD:
Name Representing
Mailing Address Telephone Number
Signature Date
FOR AGENCY USE ONLY
APPROVED
DENIED (for the reason(s) checked below)
___Confidential Disclosure __ Part of Investigatory Files
___Unwarranted Invasion of Personal Privacy
___Record of Which This Agency is Legal Custodian Cannot Be Found
___Record is not Maintained by This Agency
___Exempted by Statute Other Than the Freedom of Information Act
___ Request has been Referred to Department Which has Custody or Control of Original Record
___ Other (specify)
Signature Title Date
NOTICE: YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION TO THE HEAD OF THIS AGENCY OR HIS DESIGNEE WHO IS:
Name Business Address
WHO MUST FULLY EXPLAIN HIS REASONS FOR SUCH DENIAL IN WRITING WITHIN SEVENWORKING DAYS OF RECEIPT OF AN APPEAL
I Hereby Appeal:
Signature Date
(b) Requests made orally or in a form other than authorized by this Part will not be entertained.
(c) Requests by mail will be processed at the location where received either by mail or by intra-departmental routing. Such requests will be processed if the requestor and material sought are sufficiently identified to make compliance practicable. In the absence of such identification, the department may send to the requestor a copy of the above form for completion in order that the request may be considered.