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Public Records Request Form - Massachusetts

Public Records Request Form Form. This is a Massachusetts form and can be used in Alcoholic Beverages Commission Statewide .
 Fillable pdf Last Modified 10/30/2013
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STEVEN GROSSMAN TREASURER AND RECEIVER GENERAL Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street, First Floor Boston, MA 02114 Telephone: (617) 727-3040 Fax: (617) 727-3065 KIM S. GAINSBORO, ESQ. CHAIRMAN PUBLIC RECORDS REQUEST FORM All public records requests will be responded to within ten (10) days after receipt with an initial response and payment summary. Pursuant to Public Records law all exemptions will be redacted from any and all material being released. A letter will be sent to you estimating any copying costs and other charges that may be assessed as a part of your public records request. Please fill out the following form: DATE: LICENSEE INFORMATION: CORPORATION NAME: DBA: ADDRESS OF LICENSEE: CITY: REQUESTOR INFORMATION: NAME OF REQUESTOR: FIRM/COMPANY: ADDRESS OF REQUESTOR: PHONE NUMBER: CITY: EMAIL: RELATION TO THE FILE: FAX NUMBER: STATE: ZIP: STATE: ZIP: COUNSEL FOR LICENSEE LICENSEE THIRD PARTY OTHER: PLEASE BE AS SPECIFIC AS POSSIBLE WHEN REQUESTING INFORMATION: List of All Retail Section 12 and 15 Licensees: OTHER/ ADDITIONAL INFORMATION: COPY OF RECORDS ($0.20 PER PAGE PLUS SEARCH, REDACT AND COPY FEE ) PLEASE NOTE: THE ABCC REQUIRES PAYMENT IN FULL BEFORE DOCUMENTS ARE COPIED AND REDACTED. If you would like to submit the request via e-mail please send to mwatkins@tre.state.ma.us or phathaway@tre.state.ma.us. http://www.sec.state.ma.us/pre/prepdf/guide.pdf For ABCC Use Only: Initial Letter Sent: Payment Summary Sent: Redacted: Reviewed: Complete: American LegalNet, Inc. www.FormsWorkFlow.com
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