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Sample Request Forms

Written requests for records can be made either by postal mail or email.

A sample postal request.

A sample email request.

Postal requests are addressed to:

Records Access Officer
SUNY Upstate Medical University
Office of the Internal Audit and FOIL Officer
750 East Adams Street
Syracuse, NY 13210
Phone: (315) 464-4692
Email: [email protected]

Email requests can be sent to [email protected]