GRC Use Only 
New Jersey Government Records Council 
Denial of Access Complaint 
Please read these instructions before completing this form: 
•	This form is to be used only for claims of denial of access to government records that you want the Government Records Council (GRC) to decide. Your request must have been made on or after July 8, 2002 under "OPRA," the Open Public Records Act (N.J.S.A. 47:IA-I et seq.). 
•	Please print or type your responses, and provide ALL information requested. Incomplete forms will delay processing. This form is available in downloadable format from the GRC web site at www.nj.gov/grc.
 •	Only one complaint is required for each OPRA request form, regardless of the number of documents sought in the request. 
• 	The GRC recommends that you send the Custodian named in this complaint a copy of the complaint and that 
you keep a copy for your own files. 
•	MAIL, FAX, OR E-MAIL THIS COMPLAINT AND ALL SUPPORTING DOCUMENATION TO: 
	Government Records Council 	Fax: (609) 633-6337 
	PO Box 819 	E-mail: grc@dca.state.nj.us 
Trenton, NJ 08625-0819 
1. About the Requester of the Records: 
Full Name: 
David Heasley Weiner 
Mailing Address: 	60 Park Place, Suite 1105 
City: 
Newark 
State: 	NJ 
_.::....:..::-_------ 
ZIP 07102
Please provide a phone number at which GRC staff can contact you between 8 A.M.-5 P.M., Monday-Friday: 
973-623-1081 
Fax Number: 
732-988-1081 	_ 
E-Mail Address:_cwaI081@aol.com 	_ 
If you are represented by an attorney in this matter, please provide: 
Name: 
Phone Number: 
----------- 
Address: 	_ 
Fax Number: 
-------- 
E-mail Address: 
---- 
If you are an attorney who requested records and are filing this complaint on behalf of a client, please state the 
client's name: 	_ 
2. About the Custodian of Records: 
Name of the public agency from which records were requested: 	--=:::C~o..:::u.::nty::L.-:o:::..:f:...::E::::.:s::.:::s=:ex:.:.._ 	_ 
Name of custodian on whom records request was submitted: 	-=:..:A.::1.:::..F-=u=.sc.:..:o=-- 	-,--- 
Telephone Number: 
973-621-5241 
E-Mail address (if used): 	_ 
Name of custodian who denied records request (if different from above): 

GRC Denial of Access Complaint 
GRC Use Only 
Telephone Number: 
Fax Number: 
E-Mail address (if used): 
3. About the Record Request: 
Date your records request was provided to the custodian: 
Did you receive a reply to your request? 
Yes D 
6/5/08 	_ 
No xD 
If so, state the date your request was denied: 
Have you previously filed a complaint with the GRC concerning the record request that is subject of this complaint? 
Yes D 
No xD 
If yes, provide the GRC complaint number and a copy of the GRC decision in the matter. 
Date: 
Complaint No.: 
Have you spoken with or written to the GRC about the record request that is subject of this complaint? 
Yes D 
Date: 
No D 
Have you filed an action in the N.J. Superior Court concerning the record request that is subject of this complaint? 
No xD 
Yes D 
If Yes, Docket Number: 	_ 
4. Offer of Mediation (please refer to the attached documents for details): 
Are you interested in participating in mediation? 
Yes xD 
NoD 
5.	Documents to submit with this Form: 
D Complete the attached Records Denied List to describe the records to which you were denied access. 
	D 	Attach a copy of the OPRA Records Request form you filed with the public agency and any correspondence between you and the record custodian(s) or custodial agency staff that concern the portion of your OPRA request that was denied. Be sure to include any e-mail, memoranda, phone messages, or any other documents such as affidavits, or certifications related to the request and the denial. 
	D 	Summarize the facts of this complaint by writing the content, time and date of any interaction you had with the custodian regarding the OPRA records request that is the subject of this complaint. Use the attached Detail Summary for this purpose. 
	D 	Provide any legal arguments, allegations or other information you would like the GRC to consider in deciding this complaint. Use the attached Detail Summary for this purpose. 
D Sign the Agreement to Mediate if you wish to participate in the mediation process. 
6. Verification of Complaint: 
By signing this complaint, I affirm that: 
•	I am the person who submitted the OPRA request for records which is the subject of this Complaint; 
•	The information I have provided is true to the best of my knowledge and belief; 
•	The documents submitted with this Complaint are true copies of material which I believe is relevant to my claim; and 
•	I am not seeking disclosure of any personal information pertaining to the victim of any crime committed by me, which is an indictable offense under the laws of the State of New Jersey, or any other State, or pertaining to the 
	fam:z?;.-Victim 	{hC-r
	Signature (required) 	Date 

COUNTY OF ESSEX 
ROOM 514-A HALL OF RECORDS, 465 DR. MARTiN LUTHER KiNG, JR. BLVD., NEWARK, NEW.JERSEY 07102 PHONE (973) 621-5241 FAX (973) 693-5814 
REQUEST FOR PUBLiC RECORDS 
NOTICE: Important information and instructions are online at http://www.essex-conntynj.org/opra.htm 
Requestor Information 
Payment Information 
First Name 
MI 
Last Name 
Maximum Authorized Cost $500.00 
David Company 
H 
Weiner 
CWA Local 1081 
Select Payment Method o Cash 
[2JCheck OMoney Order 
Mailing Address 
60 Park Place, Suite 1105 
Zip 
Fees: 	Pages 1-10 @$0.75 ea. 
Pages 11-20 @$0.50 ea. Pages 2J - @$0.25 ea. 
City Newark Email 
State New Jersey 
07102 
0- 
Area Code 
Extension 
Delivery: 	Delivery / postage fees additional depending upon delivery type. 
Number 
Business Hours Telephone: 
Extras: 
Extraordinary service fees dependent upon request. 
973 
623 	1081 

Extras: See description of special service charges on reverse side. 
General 
Sheriff's Office 
Register's Office 
Copy costs: Pages 1-10 @$0.75 ea. 
Pages 11-20 @ $0.50 ea. Pages 21 + @$0.25 ea. 
A. Copies of reports or 	As per N.J.S.A 40:550-12, name lists for public 
other documents @ $2.00 per page notices cost the greater of$.25 per name or $10.00. 
B. Photographs 
As per N.J.S.A. 54:5-11, et seq., Municipal Lien Searches will be provided within 15 days after the request is received and the $10.00 fee paid. 
Delivery Cost: Actual cost of delivery 
4"x5" prints@ $5.00 ea. 5"x7" prints @ $10.00 ea. 8"xlO" prints @ $20.00 ea. 8"x12" prints @ $22.00 ea 
No documents will be released until payment is 
~ 
The County does not perform title searches. 
Has the record(s) requested herein been requested or previously provided from any other 
	office, agency, or department? 	[l] No D' es 
If yes, list here. 
Does this records request pertain or relate to any litigation (administrative or Judicial)? [Z]No DYes 
Record Request Information: To expedite the request, be as specific as possible in describing the records being requested. Also, please include the type of access requested (copying, inspection, or examination) and if data, the medium requested. 
CWA Local 1081 respectfully requests the County of Essex provide our Union documentation that will indicate if any pay raises have been provided any members ofthe Administration, and/or any Constitutional officers, for, and/or within, the year 2008. 
For Official Use Only. 
	Disposition Notes 	Custodian: If any part of 		Finalized Cost 	
Est. Document Cost 		request cannot be delivered 	Rec'dDate 		
		in 7 days detail reasons here: 			
Est. Delivery Cost 	In Progress - Open 			Ready Date 		
					Total 	
Total Est. Cost 				Total Pages 		
	Denied - Closed 				Deposit 	
Deposit Amount 				Docwnents Provided: 		
	Filled - Closed 				Balance Due 	
Est. Balance 						
	Partial- Closed 				Balance Paid 	
Deposit Date 						
		Custodian Signature 	Date