Follow the steps to successfully complete your request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date on which you are completing the form in the designated field.
3. Fill in the name of the agency as 'County Treasurer' in the required section.
4. Provide the agency's address: 240 Old Country Rd., Mineola, New York 11501.
5. State the records you wish to inspect in the section labeled 'I hereby apply to inspect the following records.'
6. Indicate whether the request involves pending litigation by selecting 'Yes' or 'No.'
7. If applicable, print the title of the case in the provided space.
8. Sign and date the form in the signature section to validate your application.
9. Fill in the date of incident related to the records, if relevant.
10. Provide your mailing address and the name of the business or firm you represent.
11. Include your phone number for follow-up communications.
12. In the 'For Agency Use Only' section, be aware that your request may be approved or denied with specified reasons.
13. If making a request for copies, indicate 'Yes' or 'No' and specify the number of pages being requested.
14. If the cost differs from the standard rate, include a description of the document and the cost to the public.
15. In the event of a denial, you have the right to appeal. Include your signature and date in the appeal section if necessary.
16. After completing all the fields, save changes, download, print, or share the form as needed.

Start filling out your Nassau County Department Of Assessment Radius Map Request Form online today!