PLEASE COMPLETE THE FOLLOWING:
I____________________________________________________, hereby request access under
Print full name
NH RSA 91-A to the following governmental record.
Record Date:_______________ Records Name:_____________________________________
Signature_________________________________________ Request Date:__________________
Mailing address:_________________________________________________________________
_________________________________________________________________
Email address: _________________________________________________________________
Telephone # _________________________________________________________________
IN ACCORDANCE WITH RSA 91-A, THE TOWN WILL DETERMINE WHETHER THE REQUESTED GOVERNMENTAL RECORD IS AVAILABLE FOR PUBLIC INSPECTION. UPON SUCH DETERMINATION IT SHALL, WITHIN 5 BUSINESS DAYS OF THE DATE OF REQUEST, MAKE THE RECORD AVAILABLE, DENY THE REQUEST IN WRITING WITH SPECIFIC REASONS, OR ACKNOWLEDGE THE RECEIPT THE REQUEST WITH STATEMENT OF THE TIME REASONABLY NECESSARY TO DETERMINE WHETHER THE REQUEST WILL BE GRANTED OR DENIED.
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