NJDEP-Open Public Records Act-Request for Access to Government Records

In accordance with the Public Records Act, NJDEP makes available its public records through formal requests to the Department's Office of Records Custodian. Requests may be submitted in writing by submitting a paper "records request form" or by completing the online form below.

Prior to submitting a request, it is recommended that you first take advantage of the records resources DEP currently offers on its web site, a listing of which is available on the NJDEP OPRA Home Page. Also, please read "Your Rights Under OPRA", which outlines the requirements and conditions of NJ OPRA.

Pursuant to N.J.A.C. 7:1D-3.2, the items below that are marked by a * are required for requesting Department records. By attempting to complete as many of the other form fields as possible, you will expedite your request and enable the Department to more precisely satisfy the request.

Requester Information:
First Name*:
Middle Initial:
Last Name*:
Street Address 1*:
Street Address 2:
Zip Code*:	-
	NJ RESIDENTS
	City*:

	NON-NJ RESIDENTS
	City*:	State* (or country if not U.S.)


Daytime Phone Number*:	- - Ext: check if number is unlisted
Fax Number(optional):	- -
E-mail Address (optional):
Affiliation/Company (optional):
Have you been convicted of any indictable offense under the laws of New Jersey or any other state of the United States? (response under penalty of N.J.S.A. 2C:28-3)*	Yes No

Information Regarding the Requested Records
Are you involved in litigation with NJDEP or in litigation with another entity related to the records you are requesting?*	Yes No
If your request is in reference to a facility, site or parcel of land, please provide the Municipality and County where the facility, site or parcel of land is located:	Municipality - County: Or look up OPRA data for a particular Municipality on-line: Search sites by Municipality
If your request is in reference to a specific parcel of land, please provide the street address, block, lot and property owner of the parcel of land: (Note: if the property in question is over multiple blocks and lots, please list all in the description field below)	Street Address 1: Street Address 2: Block: Lot:
If your request is in reference to a single facility, please provide the name of the facility, and the name of the operator name of the facility:	Facility Name: Operator Name: Or look up OPRA data for a particular site, by name or partial name on-line: Search by site name
Please provide the owner name the facility or parcel of land:	Owner Name:
Is your request in reference to DEP Enforcement? (Inspections, Investigations or Enforcement Actions, Citizen Complaints, Facility Notifications/Self Reporting)	Yes No
Is your request in reference to DEP Site Remediation? (Underground Storage Tanks, ISRA, Voluntary Cleanup, Superfund, Responses to Environmental Emergencies, Calls to the Environmental Hotline)	Yes No
If the request is in reference to a particular permit issued by NJDEP, please provide the type of permit and any identifying numbers such as permit, incident or case numbers.	Type of Permit: ID Numbers: Or look up OPRA data for a particular site by Program and ID on-line: Search by Program and ID
If your request is in reference to an individual, please provide the individual's name and type, and if the individual is a DEP employee, your relationship with the individual:	Individual: Type: Relationship:
If the an individual was specified above, the individual was DEP Licensed, please specify the license type the individual holds:	License Type:
Please describe the records sought in a way that will permit the Department to identify and locate them. To expedite your request, please be as specific as possible*:
Please select how you want to access your record request information:	Access Method:
Ceritfy this form by entering your initials in the field on the right:	Initials: Privacy Disclaimer: An OPRA request for access to a government record is itself public information. Therefore, the person requesting access to the government record should be aware that the information provided on the form may be disclosed.