An official website of New York State. Here's how you know

Public Information

Access public records, career opportunities, and procurement information.

Request for Incident/Complaint Report

Use this form to request access to copies of Incident or Complaint Reports filed with the Roosevelt Island Operating Corporation.

Requester Information

Date of Request *

Requester's Name *

Street Address *

Apt. #

City *

State *

ZIP Code *

Home Phone

Business Phone

Email Address *

Request Details

Dear Records Access Officer: I hereby request copy(ies) of Incident/Complaint Report as detailed below.

Incident/Complaint Report # *

Date of Incident/Complaint *

Name of Complainant/Aided *

Your relationship to the complainant/aided *

Brief description of the Incident/Complaint *

Acknowledgment & Signature

Fee Notice: I agree to pay a charge of twenty-five cents ($0.25) per page when copies are picked up.

I acknowledge that I have read and agree to the fee terms above, and I certify that the information provided in this form is true and accurate to the best of my knowledge.

Electronic Signature *

Please sign below using your mouse or touch screen.

Sign above

Cancel