GOVERNMENT RECORDS REQUEST FORM

Please submit form to: SDA
Attn: Custodian of Public Records
PO Box 991
Trenton, NJ 08625-0991
Phone-609-292-7854
Fax-609-777-2888
opra@njsda.gov
Important Notice
The second page of this form contains important information related to your rights concerning government records. Please read it carefully.

Requestor Information

Payment Information

 First Name  MI  Last Name 
 Affiliation          
 Mailing Address

 City  State  Zip   Email 

 Day Time Telephone: Area Code   Number   Extension
 Fax Number (optional)              
 Preferred Delivery: 
 Check One: Under penalty of N.J.S.A. 2C:28-3, I certify that Ibeen convicted of any indictable offense under the laws of New Jersey, any other state, or the United States.
Are you involved in litigation with the New Jersey Schools Development Authority or in litigation with another entity regarding the records you are requesting?
     


Duplication Fees:
   Letter Size    @$0.05/page
   Legal Size     @$0.07/page
Electronic Records: shall be provided free of charge, but, the SDA may charge for cost of media, programming, clerical, supervisory assistance and/or substantial use of information technology.              
Delivery:   Delivery / postage fees
                additional depending upon
                delivery type.
   
Additional Charges: may be charged if extraordinary time/effort required, depending upon request.


Record Request Information:  To expedite the request, be as specific as possible in describing the records being requested.
Also, please include the type of access requested (copying or inspection), and if data, the medium requested.

SDA USE ONLY SDA USE ONLY SDA USE ONLY


Est. Document Cost   _____________

Est. Delivery Cost      _____________

Est. Extras Cost       _____________

Total Est. Cost         _____________

Deposit Amount        _____________

Estimated Balance  _____________


Deposit Date           _____________


Disposition Notes
Custodian: If any part of request cannot be delivered in seven business days, detail reasons here.


In Progress - Open    ____________
Denied - Closed ______________
Filled - Closed ______________
Partial - Closed ______________

Tracking Information               Final Cost
Tracking # ____________ Total  _______
Rec'd Date ___________ Deposit _______
Ready Date ___________ Balance Due _______
Total Pages ___________ Balance Paid _______
Records Provided
______________________   _____________
        Custodian Signature                     Date

 

Requesting Access to Government Records Under the New Jersey Open Public Records Act (N.J.S.A. 47:1A-1 et seq.)

1. This form should only be used to submit records requests to the New Jersey Schools Development Authority (SDA).
2. In order to request access to government records under Open Public Records Act (OPRA), you must complete all the required portions of and date this request form and deliver it in person during regular business hours or by mail, fax or online electronically to the appropriate custodian of the record requested.
3. The fees for duplication of a government record in printed form are listed below. We will notify you of any special charges, special service charges or other additional charges authorized by State law or regulation before processing your request. Payment shall be made by cash, check or money order payable to the SDA. The assigned OPRA number should be stated on all checks.
4. If it is necessary for the records custodian to contact you concerning your request, providing identifying information, such as your name, address and telephone number or an e-mail address permits the records custodian to contact you concerning your request. Where contact is not necessary, anonymous requests are permitted; except that anonymous requests for personal information are not honored.
5. You may be charged a 50% or other deposit when a request for copies exceeds $25. The SDA custodian will contact you and advise you of any deposit requirements. Anonymous requests, when permitted, require a deposit of 100% of estimated fees.
6. Under OPRA, a custodian must deny access to a person who has been convicted of an indictable offense in New Jersey, any other state, or the United States, and who is seeking government records containing personal information pertaining to the person's victim or the victim's family.
7. By law, the SDA must notify you that it grants or denies a request for access to government records within seven business days after the custodian of the record requested receives the request, provided that the record is currently available and not in storage. If the record requested is not currently available or is in storage, the custodian will advise you within seven business days when the record can be made available and the estimated cost. You may agree with the custodian to extend the time for making records available, or granting or denying your request.
8. You may be denied access to a government record if your request would substantially disrupt agency operations.
9. If the SDA is unable to comply with your request for access to a government record, the custodian will indicate the reasons for denial on the request form and send you a signed and dated copy.
10. Except as otherwise provided by law or by agreement with the requester, if the custodian of the record requested fails to respond to you within the seven business days as required under OPRA, the failure to respond will be considered a denial of your request.
11. If your request for access to a government record has been denied or unfilled within the time permitted by law, you have a right to challenge the decision by the SDA to deny access. At your option, you may either institute a proceeding in the Superior Court of New Jersey or file a complaint in writing with the Government Records Council (GRC). You may contact the GRC by toll-free telephone at 866-850-0511, by mail at PO Box 819, Trenton, NJ, 08625, by e-mail at grc@dca.state.nj.us,  or at their web site at www.state.nj.us/grc. The Council can also answer other questions about the law.
12. Information provided on this form may be subject to disclosure under the Open Public Records Act.



New Jersey Schools Development Authority Government Records Access Unit Service Rates

Duplication Fees:
     Letter Size @$0.05/page
     Legal Size @$0.07/page
    
    
Labor Rate for Services Other than Copying:
     Administrative/Clerical Actual cost as quoted
     Professional Actual cost as quoted
OIT Rates:
     Band 1 $77.77/hr
     Band 2 $98.84/hr
     Band 3 $103.63/hr
     Band 4 $106.17/hr
Supplies Other than Paper and Copier Supplies:
Compact Disc $10.02 ea
DVD $10.02 ea
Special Mailing Costs Actual Cost

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I UNDERSTAND AND AGREE  that if I am requesting a copy of records, I will be required to pay for any records obtained as a result of my request in accordance with the amounts listed in the above fee schedule. In the case of non-standard printed materials or records in other forms not delineated above, the requester will be charged at the actual cost to reproduce the materials or records. If multiple copies of materials or documents are necessary or specifically requested, appropriate reproduction charges will also apply.
Certify this form by entering your  initials  in the field on the right: