Name of Agency Official
Appeals Officer
Name of Agency
Address of Agency
City, NY, Zip code

Re: Freedom of Information Law Appeal

Dear [name of appeals officer]:

I hereby appeal the denial of access regarding my request, which was made on [date] and sent to [records access officer, name and address of agency].

The records that were denied include: [enumerate the records that were denied]

As required by the Freedom of Information Law, the head or governing body of an agency, or whoever is designated to determine appeals, is required to respond in 10 business days of the receipt of an appeal. If the records are denied on appeal, please explain the reasons for denial fully, in writing, as required by law.

In addition, please be advised that the Freedom of Information Law directs that all appeals and the determinations that follow be sent to the Committee On Open Government, Department Of State, 162 Washington Avenue, Albany, New York, 12231.

Sincerely,