Supreme Court of the State of New York County of Albany For an Order and Judgment Pursuant to Article 78 of the New York Civil Practice and Law Rules In the Matter of William R. Fox, Sr., Robert B. Begg, Ronald V. Brink, George O. Chipman, Timothy D. Embt, Kevin Kalled, Sherman N. Kearns, David B. Keebler, Don Howard Kieffer, Helena Kosorek, EXHIBITS Raymond Kosorek, Gerald D. Miller, Daniel Phillips, Philip Polizotto, Vincent M. Rasulo, Mark F. Rondinaro, James Saccardi, Alvin F. Shaw, Patricia A. Shaw, David G. Thom, Marcia A. Thom, Leslie Hayes Wilson, Irene Williams-Wilson, Christopher S. Zaleski, Joel Zarpentine, Mattie D. Zarpentine, Shooters Committee on Political Education (“SCOPE”), and all other persons similarly situated, Petitioners vs, New York State Police; and, George P. Beach, in his official capacity as Superintendent of the New York State Police, Respondents. A. “Stop the Secrecy!” campaign materials, specifically the “Freedom of Information Request,” the date of birth letter, and the request for agency appeal letter. B. Letters from Paloma A. Capanna, Attorney, to the NYS Police to transmit FOILs (dated July 9, 2015, July 24, 2015, August 13, 2015, October 9, 2015, December 4, 2015, April 27, 2016). Exhibit List Page | of 4i. Letter from Paloma A. Capanna, Attorney, to the NYS Police Division Counsel (dated March 23, 2016). William R. Fox, Sr. materials: Fox Freedom of Information Request (May 12, 2015), NYS Police denial letter (March 18, 2016), Fox agency appeal request (April 3, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Robert B. Begg materials: Begg Freedom of Information Request (May 12, 2015), NYS Police denial letter (March 3, 2016), Begg agency appeal request (March 30, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Ronal V. Brink materials: Brink Freedom of Information Request (May 17, 2015). NYS Police denial letter (March 3, 2016), Brink agency appeal request (March 30, 2016), and NYS Police agency appeal denial letter (April 18, 2016). George O. Chipman materials: NYS Police denial letter (June 16, 2016),! Chipman agency appeal request (April 22, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Timothy D. Embt materials: Embt Freedom of Information Request (May 12, 2015), NYS Police denial letter (March 18, 2016), Embt agency appeal request (April 13, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Kevin Kalled materials: Kalled Freedom of Information Request (June 22, 2015), NYS Police denial letter (March 30, 2016), Kalled agency appeal request (April 27, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Sherman N. Kearns materials: NYS Police letter requesting date of birth (October 7, 2015), Kearns birth date information (dated April 12, 2016), NYS Police denial letter (May 4, 2016), Kearns agency appeal request (May 11, 2016), and NYS Police agency appeal denial letter (June 9, 2016), David B. Keebler materials: Keebler Freedom of Information Request (May 11, 2015), NYS Police denial letter (March 21, 2016), Keebler agency appeal request (April 1, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Don Howard Kieffer materials: Kieffer Freedom of Information Request (June 10, 2015), NYS Police birthday request letter (February 24, 2016), Kieffer birthday information letter (February 27, 2016), and NYS Police denial letter (March 3, 2016), Kieffer agency appeal request (March 30, 2016), NYS Police agency appeal denial letter (April 18, 2016). 1N.B.: for any person whose materials do not include the original Freedom of Information Request, the same was not available upon the assembly of these Exhibits. ‘The FOIL is, however, acknowledged as having been received by the NYS Police in their first denial letter. Exhibit List Page 2 of 4U. Helena Kosorek materials: Helena Kosorek Freedom of Information Request (June 25, 2015), NYS Police denial letter (April 1, 2016), Helena Kosorek agency appeal request (April 8, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Raymond Kosorek materials: Raymond Kosorek Freedom of Information Request (April 8, 2015), NYS Police denial letter (March 22, 2016), Raymond Kosorek agency appeal request (April 8, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Gerald D. Miller materials: Miller Freedom of Information Request (May 10, 2015), NYS Police birthday letter (October 13, 2015), NYS Police denial letter (March 22, 2016), Miller agency appeal request (April 13, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Daniel Phillips materials: NYS Police denial letter (April 23, 2016), Phillips agency appeal request (March 31, 2016), and NYS Police agency appeal denial letter (March 23, 2016). Philip Polizotto materials: NYS Police denial letter (March 23, 2016), Polizotto agency appeal request (March 31, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Vincent M. Rasulo materials: NYS Police denial letter (March 29, 2016), Rasulo agency appeal request (April 1, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Mark F. Rondinaro materials: NYS Police denial letter (March 29, 2016), Rondinaro agency appeal request (April 21, 2016), and NYS Police agency appeal denial letter (May 10, 2016). James Saccardi materials: Saccardi Freedom of Information Request (May 7, 2015), NYS Police denial letter (March 29, 2016), Saccardi agency appeal request (April 1, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Alvin F. Shaw materials: Alvin Shaw Freedom of Information Request (May 12, 2015), NYS Police denial letter (March 29, 2016), Alvin Shaw agency appeal request (April 13, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Patricia A. Shaw materials: Patricia Shaw Freedom of Information Request (May 12, 2015), NYS Police denial letter (March 29, 2016), Patricia Shaw agency appeal request (April 13, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Exhibit List Page 3 of 4BB. cc. DD. EE. FF. GG. HH. David G. Thom materials: NYS Police denial letter (March 29, 2016), David Thom agency appeal request (April 15, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Marcia A. Thom materials: NYS Police denial letter (March 31, 2016), Marcia ‘Thom agency appeal request (April 15, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Leslie Hayes Wilson materials: NYS Police denial letter (March 31, 2016), Wilson agency appeal request (April 4, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Irene Williams-Wilson materials: NYS Police denial letter (March 31, 2016), Williams-Wilson agency appeal request (April 4, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Joel Zarpentine materials: Joel Zarpentine Freedom of Information Request (May 12, 2015), NYS Police denial letter (April 1, 2016), Joel Zarpentine agency appeal request (April 11, 2016), and NYS Police agency appeal denial letter (May 10, 2016). ‘Mattie D. Zarpentine materials: Mattie Zarpentine Freedom of Information Request (May 12, 2015), NYS Police denial letter (April 1, 2016), Mattie Zarpentine agency appeal request (April 8, 2016), and NYS Police agency appeal denial letter (April 18, 2016). Christopher S. Zaleski materials: Zaleski Freedom of Information Request (May 27, 2015), NYS Police denial letter (April 1, 2016), Zaleski agency appeal request (April 18, 2016), and NYS Police agency appeal denial letter (May 10, 2016). Letters of Engagement and Addendums for the representation of the Petitioners by Paloma A. Capanna, Attorney. Office of Mental Health, Integrated SAFE Act Reporting System (V 1.0.2.6), “User Guide” (Released March 15, 2013; Updated September 30, 2013). Sample “elustice” screen shots for MHL §9.41 and §9.46 integrated justice portal inter-agency transmissions (redacted). Sample NYS Police 9.46 and 9.41 letters to County Clerks, which letters are shared with County Court Judges and local law enforcement agencies (redacted). Sample ex parte Order to Show Cause for suspension of pistol license with confiscation of all firearms (redacted). Exhibit List Page 4 of 4Fox v. NYS Police Exhibit A — “Stop the Secrecy!” FormsAPPLICATI FOR PUBLIC ACCE: To: RECORDS ACCESS OFFICER Agency: New York State Police 1220 Washington Avenue, Building 22 Albany, New York 12226-2252 HEREBY APPLY TO INSPECT THE FOLLOWING RECORDS: all records pertaining to me in the possession or under the control of the New York State Police, since January 1, 2013, including, but not limited to, those relating to any reports under Mental Hygiene Law §9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline,” or other means of reporting and database storage and management. 1 HEREBY REQUEST COPIES OF THE FOLLOWING RECORDS AT $.25 PER PAGE: all records, without limitation, which satisfy the above request for information. Dated: ___, 2015 Gronti) @ Signature: PRINTED NAME IN ALL CAPS: ___ Street address: City: State: New York Zip: _ County: ‘Telephone number (optional): _ NOTICE: The use of the term “records” in this Freedom of Information Law request is a legal term, defined in Public Officers Law §86(4), “any information kept, held, filed, produced or reproduced by, with or for an agency or the state legislature, in any physical form whatsoever including, but not limited to, reports, statements, examinations, memoranda, opinions, folders, files, books, manuals, pamphlets, forms, papers, designs, drawings, maps, photos, letters, microfilms, computer tapes or discs, rules, regulations or codes.”Date: Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police 1220 Washington Avenue, Building 22 Albany, New York 12226 Dear Lieutenant Benziger: In response to your recent letter, my date of birth is 5 I sent a FOIL to your attention for records pertaining to me in the possession or under the control of the New York State Police, since January 1, 2013, including, but not limited to, those relating to any reports under Mental Hygiene Law §9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline,” or other means of reporting and database storage and management. Please do NOT search for or send any incident reports to me about any motor vehicle accidents in which I may have been involved. Any request for a statutory fee of $15 for an “Incident Report” pursuant to NY Public Officers Law §66-a(2) will not be paid. ‘Thank you for your prompt assistance with my request. Respectfully, (Signature line)Your name: Your street address: Your town/state/zip: Date: , 2016 Dear Records Appeal Officer: This letter appeals the denial of my Freedom of Information request for “all records pertaining to me in the possession or under the control of the New York State Police, since January 1, 2013, including, but not limited to, those relating to any reports under Mental Hygiene Law §9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline,” or other means of reporting and database storage and management.” Within ten days (10 days) of your receipt of this letter, please send me the reasons for your further denial of my FOIL request or provide access to the record sought. This request is made in accordance with NY Public Officers Law §89(4)(a). 1 affirm that J am the person who made the original FOIL request in my own name for records that pertain only to me. Respectfully, Sign here: Print here: & Mail the original of this letter to: Records Appeal Officer New York State Police Building 22 1220 Washington Avenue Albany, New York 12226Fox v. NYS Police Exhibit B — Capanna LettersHomey O Fatey Sala 633 Lake Road (585) 377-7260 Webster, New York 14580 Sax (585) 377-7268 July 9, 2015 Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are 893 FOIL requests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. ‘Thank you for your courtesies in the prompt handling of these requests. lm Paloma A. Caparha cc: Mr. Stephen J. Aldstadt, President SCOPEHorney © Petey Lralyt 633 Lake Road (685) 377-7260 ‘Webster, New York 14580 fax (585) 377-7268 July 24, 2015 Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau ‘New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are an additional 523 FOIL requests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. ‘Thank you for your courtesies in the prompt handling of these requests. ) Paloma A. 1G c.: Mr. Stephen J. Aldstadt, President SCOPEHomey O Policy Lralyst 633 Lake Road (585) 377-7260 Webster, New York 14580 Fax (S85) 377-7268 August 13, 2015 2 Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are an additional 43 FOIL requests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. ‘Thank you for your courtesies in the prompt handling of these requests. Fei Paloma A. LCi fatire — Mr. Stephen J. Aldstadt, President SCOPEGalema Hi, Copanna Homey Potey Lpalys 633 Lake Road (585) 377-7260 Webster, New York 14580 Fax (S85) 377-7268 October 9, 2015 . Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are an additional 30 FOIL Tequests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. Thank you for your courtesies in the prompt handling of these requests. spectfully, Flmall Paloma A. Caj c.: ‘Mr, Stephen J. Aldstadt, President SCOPEHomey © Paley Lpalye 633 Lake Road (585) 377-7260 Webster, New York 14580 Sax (585) 377-7268 December 4, 2015 Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are an additional 12 FOIL requests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. Thank you for your courtesies in the prompt handling of these requests. Respectfully, coals c.: * Mr. Stephen J. Aldstadt, President SCOPE633 Lake Road (585) 377-7260 Webster, New York 14580 Sax (S85) 377-7268 April 27, 2016 - Lieutenant Debra L. Benziger Records Access Officer Central Records Bureau New York State Police Building 22 1220 Washington Avenue Albany, New York 12226-2252 Dear Lieutenant Benziger: Enclosed are an additional four FOIL requests, which I transmit from their collection by the Shooters Committee on Political Education (“SCOPE”). The responses should be made to the individuals. Thank you for your courtesies in the prompt handling of these requests. ectfully, Paloma A. Cp ct Mr, Stephen J. Aldstadt, President SCOPEFox v. NYS Police Exhibit C — Capanna Letter633 Lake Road (585) 377-7260 ‘Webster, New York 14580 Fax (585) 377-7268 March 23, 2016 Thomas A. Capezza, Attomey Chief Legal Counsel NYS Police 1220 Washington Avenue via facsimile Building 22 and via first class mail Albany, New York 12226-2252 Dear Mr. Capezza: This correspondence secks your stipulation to an efficient approach to the legal challenge of the now in-bound responses to the Freedom of Information Requests submitted by more than 2,000 individuals under our “Stop the Secrecy Campaign,” relative to NY Mental Hygiene Law §9.46. As of Monday, March 21, 2016, I have started to Teceive copies of the NYSP Tesponses to these requests from various individuals. Under NY POL §89(4)(a), individuals now hhave 30 days for the intemal agency appeal. (Please note that the NYSP response letter does not provide this 30-day notice.) Upon affirmation of the denial, individuals would then under POL §89(4)(b) have the four months provided to commence the CPLR Art. 78 in Albany County Supreme Court. For the sake of the efficiency of both of our offices and in favor of a process that will allow individuals to participate in a positive and organized fashion, I propose that we reach a written stipulation on the following two points: 1. both the NYSP and the individuals would waive the administrative appeal available and/or required by NY POL §89(4)(a); and, 2. the individuals will be consolidated into a single CPLR Art. 78 proceeding to be Commenced on or before Friday, August 5, 2016 (slightly more than four months, date selected to allow for a memorable “cut off” to me of July 4, 2016 with added time to prepare the legal paperwork).March 23, 2016 Page 2 of 2 This stipulation would be applicable to all individuals who submitted the attached FOIL as part of the “Stop the Secrecy” campaign. I am aware that at least two individuals ‘wrote in some additional, ministerial language on their forms, so I would ask that if there are any such ministerial remarks (e.g., “limited to $5.00”) that the same not preclude their participation. This route would be publicized by my law office, by SCOPE, and by various other Coalition partners in a concerted effort to organize individuals into one group of litigants. As we both know, there will undoubtedly be persons who will submit an administrative appeal, and who may, if you will, not be part of the pro-Second Amendment community. This issue transcends firearms owners and activists. But, if this can be done in the above- described manner, I believe that we can achieve a largely efficient process that will assist both of our offices and also the judge who is eventually assigned. A great number of individuals have taken the time to become educated on the law and to Participate in the process. It is my goal not only to defeat the position taken by the NYSP to ensure transparency of operations, but to foster the public trust in the legal system. While we have a difference of opinion on the current issue, the Second Amendment community continues to expressly appreciate that the NYSP released the “assault ‘Weapons registry” statistics in response to Judge McNamara’s ruling last year. I would hope that if we can prevail in our legal arguments, that we might achieve that same level of cooperation. regret that I am asking for your immediate response in that I would like to afford you more time to consider the suggestions made in this letter. However, the 30-day clock is running, and I will need to put out information for people by Monday m« courtesy of I Friday, March 25, 2016 will be Thank you, in advance, for your consideration. spectfully, Paloma A. Cpe Mr. Stephen J. Aldstadt, President, SCOPEAPPLICATION FOR PUBLIC ACCESS TO RECORDS To: RECORDS ACCESS OFFICER Agency: New York State Police 1220 Washington Avenue, Building 22 Albany, New York 12226-2252 THEREBY APPLY TO INSPECT THE FOLLOWING RECORDS: all records pertaining to me in the possession or under the control of the New York State Police, since January 1, 2013, including, but not limited to, those relating to any reports under Mental Hygiene Law §9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline,” or other means of reporting and database storage and management. I HEREBY REQUEST COPIES OF THE FOLLOWING RECORDS AT $.25 PER PAGE: all records, without limitation, which satisfy the above request for information. 52015 (day) Signature: PRINTED NAME IN ALL CAPS: Street address: City: State: New York County: Telephone number (optional): ‘NOTICE: ‘The use of the term “records” in this Freedom of Information Law request is a legal term, defined in Public Officers Law §86(4), “any information kept, held, filed, produced or reproduced by, with or for an agency or the state legislature, in any physical form whatsoever including, but not limited to, reports, statements, examinations, memoranda, opinions, folders, files, books, manuals, pamphlets, forms, papers, designs, drawings, maps, photos, leters, microfilms, computer tapes or discs, rules, regulations or codes.”PALOMA A. CAPANNA, ATTORNEY 633 LaKE ROAD ‘WeasTer, NEW York 14580 (885) 377-7260 fax (585) 377-7268 To: — Thomas A. Capezza, Attomey Fax: 518-485-1164 Chief Legal Counsel NYS Police From: Paloma A. Capanna, Attomey Date: 03/23/2016 Re: _ “Stop the Secrecy” FOIL campaign _Pages: 4, including cover cc: Fax: X- Urgent C1 For YourFile _X - Please Comment O1- Please Reply O-FY.L. ‘The information transmitted (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, is intended only for the person(s) or entity/entities to which itis addressed and may cont confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipients) is prohibited, If you received ths in error, please ‘contact the sender and destroy this material immediately.Transmission Log PALOMA A CAPPANA Wednesday, 2016-03-23 12:13 585 377 7268 Date Time Type Job # Length Speed Station Name/Number Pgs status 12 SCAN 00498 2016-03-23 1: 9 24000 15184851164 © 4 OK -- v.34 AB32 PALOMA A. CAPANNA, ATTORNEY Bile ‘Wensren, New York 14580 ($85)377-7260 fa ($85) 377-7268 ‘To: Thomas A. Capezza, Attorney Fax: 518-485-1164 Chief Legal Counsel NYS Police From: Paloma A, Cepanna, Attorney Date: 03/23/2016 ‘Ret _ “Stop the Seorecy" FOIL campaign Pages: 4, inchuding cover See Reerrey Ro campaign __Pages: 4, including cover ‘Toe rman rend tag cen) covery rei Commmncatn Pvay et SC. {teed nt Ay ey rps nanan suns aperep con tae ok ‘oon by pra lin er at ened cps) spn Hsu es esses ‘rah wnt sry Sis matali,Fox v. NYS Police Exhibit D — Fox Materials"PLICATION FOR PUBLIC ACCESS TO RECORDS To: RECORDS ACCESS OFFICER Agency: New York State Police 1220 Washington Avenue, Building 22 Albany, New York 12226-2252 1 HEREBY APPLY TO INSPECT THE FOLLOWING RECORDS: all records pertaining to me in the possession or under the control of the New York State Police, since January 1, 2013, including, but not limited to, those relating to any reports under Mental Hygiene Law §9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline,” or other means of reporting and database storage and management. I HEREBY REQUEST COPIES OF THE FOLLOWING RECORDS AT $.25 PER PAGE: all records, without limitation, which satisfy the above request for information. Datea: _/V Ag ld 2015 (month) (aay) Signature: PRINTED NAME IN ALL CAPS: OK. Street address: City: State: New York Zip: HZ County: eZ Telephone number (optional): SOI-356:- FHL NOTICE: The use of the term “records” in this Freedom of Information Law request is a legal term, defined in Public Officers Law §86(4), “any information kept, held, filed, produced or reproduced by, with or for an agency or the state legislature, in any physical form whatsoever including, but not limited to, reports, statements, examinations, memoranda, opinions, folders, files, books, manuals, pamphlets, forms, papers, designs, drawings, maps, photos, letters, microfilms, computer tapes or discs, rules, regulations or codes.”pare | Police ANDREW M, JOSEPH A. D'AMICO Governor MN CuOMO ‘Superintendent — March 18, 2016 , Mr, William R, Fox St. 9346 South Street Road Leroy, New York 14482 Dear Mr. Fox: Reference:is made to your correspondence dated December 15,2015, received at this office on December 21, 2015, in which you provided your date of birth regarding your previous request for FoPies ofall records pertaining to you in the possession or under the control of the New York State Police, since January 1, 2013, ineluding, but not limited to, those relating to any reports under Mental Hygiene Law § 9.46 made through or stored within the Integrated SAFE Act Reporting System, e-Justice, NYS Police “hotline”, or other means of. ‘Teporting and database storage and Tee 2ement, Pursuant to the requirements of Article 6 of the Public Officers Law (Freedom of Information Law). Please be advised that records that are specifically exempt from disclosure under state or federal statute are not disclosable ‘under FOIL (Public Officers ‘Law § 87 (2)(a). Information: telating to Mental Hygiene § 9.46 reports should be sent to the Office of NICS Appeals and SAFE Act, P.O. Box 66329, Albany, New York 12206. To the extent you have expressed that you do not want records relating to any motor vehicle feeidents that you may have been involved in and you are unwilling to pay the statutory fee for any Incident Reports that may be located, no search has been conducted. Please submit a new request reasonably describing any additional records you seek. Any appeals must be made in writing and mailed to the Records Appeal Officer, Administration, at the address listed below. Sincerely, Deb Bernser DLB/ds 15-0995 Bulking 22, 1220 Washington Avenue, Abvany, NY 12226 | www troopers.ny govNEW | State sale | Police ANDREW M. CUOMO JOSEPH A. D'AMICO Governor ‘Superintendent April 18, 2016 Mr. William R. Fox Sr. : 9346 South Street Road Leroy, New York 14482 Dear Mr. Fox Reference is made to your correspondence dated April 4, 2016, received at this office on April 11, 2016, in ‘which you appeal the response to your Freedom of Information Law request dated December 15, 2015, wherein you provided your date of birth regarding your previous request for copies of all records pertaining to you in the possession or under the control of the New York State Police, since January 1,2013, including, but not limited to, those relating to any reports under Mental Hygiene Law § 9.46 made through or stored within the Integrated SAFE Act Reporting System. e-Justice, NYS Police “hotline”, or other means of reporting and database storage and management, pursuant to requirements of Article 6 of the Public Officers Law (Freedom of Information Law). have reviewed your appeal and the relevant statutory provisions and I concur with the determination made by ‘Technical Lieutenant Debra L. Benziger. The records you seek are specifically exempt from disclosure under state of federal statute, and therefore, are not disclosable under FOIL (Public Officers Law § 87 (2)(a). Information relating to the care and treatment ofan individual receiving treatment at a mental health provider or information that would tend to identify a patient receiving such care may not be further disclosed pursuant to HIPAA privacy regulations at 45 CFR Part 160 and Mental Hygiene Law § 33.13(c) and is, therefore, not disclosable under FOIL. Additionally, as contemplated in the Code of Federal Regulations pertaining to access of individuals, in certain circumstances, protected health information, if disclosed, could endanger the life or safety of our members or the pul Law §87(2)(). Accordingly, no search will be conducted for any records relating to reports under Mental Hygiene Law $9.46. Additionally, Requests for personal information pertaining to Mental Hygiene § 9.46 reports should be sent to the Office of NICS Appeals and SAFE Act, P.O. Box 66329, Albany, New York 12206. ‘To the extent you have expressed that you do not want records relating to any motor vehicle accidents that you may have been involved in and you are unwilling to pay the statutory fee for any Incident Reports that may be located, no search has been conducted. Inasmuch as you have not submitted a new request reasonably describing any additional records you seek, your appeal is denied. Sincerely, Lt. Colonel Richard C. Smith Jr. Assistant Deputy Superintendent ‘aminitaron ce: Commite on Open Governnent 15.0585 ‘Building 22, 1220 Washington Avenue, Albany, NY 12226 | www.troopers.y.govFox v. NYS Police Exhibit EE — ISARS User GuideOffice Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 USER GUIDE Integrated SAFE. Act Reporting System (ISARS) Version 1.0.2.6 New York State Office of Mental Health (OMH) Release Date: March 15th, 2013 | Updated: September 30th, 2013 | Integrated SAFE Act Reporting System (ISARS) User Guide Page 1 9/25/2013Office OF Mental Health Integrated SAFE Act Reporting System V 102.6 an PREFACE ‘The New York State Office of Mental Health (OMH) has developed this Document to assist Licensed Mental Health Professionals / Clinicians in using the Integrated SAFE Act Reporting System (ISARS). Section 9.46 of New York Secure Ammunition and Firearms Enforcement Act (“SAFE Act”) requires Mental Health Professionals (referred to as “Users” or “Reporting Professionals” in this document) to report to their local Director of Community Services ("DCS") when, in their reasonable professional jjudement one of their patients is "likely to engage in conduct that would result in serious harm to self or others." Itis not intended to be a complete system or training manual, but an up-to-date reference guide for accessing reporting interface screens for the purposes of submitting reports about a mental health patient. Periodic updates to this document will be distributed as new functional modules and sereens are included and as changes are made to this application that affect the information contained in this reference. Beginning with version 1.0.2.5, OMH will publish “Release Notes” that describe new or modified functionality for each release. Release Notes will be available through a link on the NY SAFE. Act page of the OMH website -http://vww.omh.ny.gov/omhweb/safe_act/ Tntegrated SAFE Act Repor 972s2013, ‘System (ISARS) User Guide Page?Mice Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 REVISION HISTORY 1.0.0 03/11/2013 | Document supports initial deployment of Integrated SAFE Act Reporting System (ISARS), scheduled for statewide release on March 15" 2013 10. 03/25/2013 | Added a note, Tor selecting provider professional iype as applied to Nurse Practitioner. 1.02 03/28/2013 _| Added table of contents 1.03 (04/16/2013 | Added changes for address, DOB and SSN entries of persons being, feported. Also added new email validation error messages. (V 1.0.2.0) 1.04 51372013 | Added (V 1.0.2.2) 1.0.5 ‘6/17/2013 | Added v 1.0.2.5, GIS, explanation of validator callout and balloon help. 1.06 7/30/13. | Added changes to professional relationship to person to submit when not part ofthe treatment team. 107 ‘972572013 | Application v 1.0.2.6 - Added changes to the proxy submittal screen and attestation Tategrated SAFE Act Reporting System (ISARS) User Guide Pages 9752013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 am TABLE OF CONTENTS PREFACI 1. INTEGRATED SAFE ACT REPORTING SYSTEM OVERVIEW, 2. REPORTING PORTAL - GETTING STARTED. 24, Validator Callouts 2.2. Balloon Hel 3. DATA ENTRY FOR REPORTING PROFESSIONALS. 3. Navigation Tips.. 32. 33. Last Name ~ (Required Field)... 3.4, Provider Profession Type - (Required Field). 35. Provider License Number ~ (Required Field). 3.6. Last 4 of SSN— (Required Field) . 3.7. Date of Birth — (Required Field in MM/DDIYYYY) nn 38. Phone Number ~ (Required Field) 3.9. Phone Number Extension — (Optional Field). 3.10, Email Address — (Required Field) 4. DATA ENTRY - “PROFESSIONAL RELATIONSHIP TO PERSONS”. Person is Currently Hospitalized smn ‘Treatment Team Member . First Name — (Required Field) Last Name ~ (Required Field) suru Contact Profession Type ~ (Required Field) Contact Phone Number ~ (Required Field) Contact Phone Extension — (Optional Field) ..n. Last Seen — (Required Field) ‘Treatment Relationship — (Required Field 5. DATA ENTRY - “PERSON BEING REPORTED”. 5.1. First Name ~ (Required Field). 5.2. Middle Name ~ (Optional Field) 53. Last Name~ (Required Field) Integrated SAFE Act Reporting System (ISARS) User Guide rage 4 9nsi013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 om 5.4. Other Name / Maiden Name ~ (Optional Field)... 55. Street Address Unknown, 56. Postal Address Unknown... 5.7. Street/City/State/Zip Code — (Required fields if address is known 58, Address: County of Residence ~ (Required Field). 5.9. Date of Birth or Approximate Age — (Required Field if DOB is known) 5.10. Social Security Number ~ (Required Field) S.L1. Gender ~ (Required Field). 5.12. Race ~ (Required Field).. 5.13. Diagnosis ~ (Optional Field If Unknown). 5.14, Reason — (Required Field).. 6. SUBMISSION AND REPORTIN 6.1. Security & Submit - (Required Action). 62. Vali & Resubmission - (Required Action) smn 63. Self Attestation - (Required Action). 64, Proxy Reporter Attestation — (Required Action) se 36 6. Submit another Person - (Optional Action) 7. NEED HELP & “CONTACT US" OPTIONS vn TA. Need Help - (Optional Action) nun. 72. Contact us for further Assistance - (Optional Action). Integrated SAFE Act Reporting System (ISARS) User Guide Pages 9nsi2013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 1 INTEGRATED SAFE ACT REPORTING SYSTEM OVERVIEW Mental Hygiene Law Section 9.46 (“MIL 9.46”) requires Mental Health Professionals to report to the county DCS or designee when, in their reasonable professional judgment, one of the persons for whom they are currently providing mental health treatment services is “likely to engage in conduct that would result in serious harm to self or others.” NYS Licensed Mental Health Professional Clinicians, including Mental Health Physicians, Registered Nurses and Nurse Practitioners, Psychologists and Licensed Clinical Social Workers are eligible for SAFE Act reporting, Psychologists without a NYS license are also eligible for SAPE Act Reporting as applied to Section 9.46. ‘The Integrated SAFE Act Reporting System (“ISARS”) is a fully secure, hack-resilient, web based, ‘online application to be used for reporting a potential threat to county Directors of Community Servi DCS") for compliance with MHL 9.46. It is composed of two web components: 8) Reporting Portal for Reporting Professionals, consisting of Data Entry/Submission and Self= Altestation pages for reporting threats to DCS and ')_an Assessment Portal, consisting of Patient Data Review and Submission pages that enables the county DCS or their designees to select, review and submit one or multiple individuals” data from the Assessment Portal to the New York State Division of Criminal Justice Service's, DCIS") portal. ‘This User Guide is only for the Reporting Portal. DCS will analyze each individual’s data being reported, cross check the individual's identity when it has not been previously verified and will follow-up, if required, with the appropriate Reporting Professionals for compliance with MHL 9.46. No Personal Health Information (“PHI”) data will be allowed to be passed on to DCIS. ‘The system shall provide role-based access permission and authorization to each of the DCS designees through the Security Management System (“SMS”) environment of OMH. ISARS has built in functionality to verify and authenticate most Reporting Professionals” identities in order to filter out any extraneous data being transmitted from the Reporting Portal to the Assessment Portal for county DCS. Integrated SAFE Act Reporting System (ISARS) User Guide rage 6 9nsn013Office Of Mental Health a 7 REPORTING PORTAL - GETTING STARTED Integrated SAFE Act Reporting System V 1.02.6 1, SAFE Act Users can enter the application in one of two ways: a. through the OMH home page at http:/www.omh,ny.20v by clicking the “NY SAFE ACT” link, then clicking the “9.46 Reporting” link at rtpv/www.omb.ny.goviomhwebisafe_acl/, (Additional SAFE ACT Reporting resources are available at this site) Office of Mental Heal Office of Mental Health 2 = ing the reporting portal by typing this URL. in to their web browser: https:/nysafe.omh.ny. gov 2. The system will then display a blank reporting portal data entry screen in the User’s web browser as shown below: Integrated SAFE Act Reporting System (ISARS) User Guide Page? 972872013Office Of Mental Health Tategrat 9nsi013 A > cameOffice OF Mental Health Integrated SAFE Act Reporting System V 102.6 3. This data entry screen is a, Reporting Professional: ided into following four sections: Information about the person who is submitting this report. b. Professional Relationship to Person: Information about the Treatment Relationship with ‘the patient being reported. Reporters that are not direct members ofthe patient's treatment ‘team must indicate this by unchecking the box under Treatment Team Member and ‘completing information on the treatment team member they are reporting for. ‘This can also record whether a patient is currently hospitalized. Integrated SAFE Act Reporting System (ISARS) User Guide Page> 92s2013Omfce Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 5 Person Being Reported: Demographic & Diagnostic information about the patient being reported.Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 an 4d, Security Cheek & Submission: Once the Reporting Professional is done with their data entry and decides to complete the submission process, they will need to enter the security code and click on the “Submit” button. Clicking on the Clear” button will erase all of the centered data and a new screen will be displayed to allow the User to start again. 2.1. Validator Callouts The ISARS Reporting Portal is designed to guide the Mental Health Professional in filling out the report as completely and accurately as possible. To accomplish this, the developers use both “validator callouts” and “balloon help” (described in the next section.) ‘A validator is a computer program used to check the validity or syntactical correctness of a fragment of code or document. Validator callouts are yellow boxes that may be displayed when: © the User tabs or clicks out of a required field without entering data (depending on the browser, it might not display until the User exits and clicks back into the field) © a.User tabs or clicks out ofa field where data has been entered in an incorrect format The text of the callout will offer guidance on how the field is to be filled out as shown in the following illustration of the validator callout for the reporting Professional's First Name field: Sieldis with {> E-S2 lao" ed ‘Where possible, the application prevents Users from entering incorrectly formatted data. For example, it is not possible to enter numeric characters into the name field; it will only accept upper and/or lower case letters, an apostrophe/single quote, a space or a dash as they are all permissible for use in a persons first or last name. In fields where invalid data may be entered, (e.g., entering ‘32° into the “DD” portion of a date field) a validator callout will display when the User tabs or clicks out of the field. Tntegrated SAFE Act Reporting System (ISARS) User Guide Page 11 9752013,Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 om 2.2. Balloon Help Balloon Help is similar to validator callouts in that it displays in a box and offers guidance on how a field should be filled out. The difference is that Balloon Help does not perform validation; it merely provides guidance based on feedback that has been received from Users of the ISARS Reporting Portal Nurse Practictioners (30-46) or Registered Nurse (22) only. I you are a nurse but not in these profession codes, please find someone on your treatment team to submit. Integrated SAFE Act Reporting System (ISARS) User Guide Page 12 972s72013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 an 3. DATA ENTRY FOR REPORTING PROFESSIONALS 3.1. Navigation Tips Users can enter data into @ field by first navigating to that field by either clicking into it, or using the tab key to move the cursor into it, The recommended method is to tab into the field, which places the cursor at the beginning of the field Press the “Tab” key to move the cursor forward through the form fields Press “Shift + Tab” (press the shift key first and press the tab key while shift key) to move the cursor backwards through the form fields * To move through a row of “Radio Buttons” (round, checkable fields as pictured in the “Provider Profession Type” group box, below) click or tab into the first radio button and use the right or left arrow keys to move forward or back, respectively, through the radio buttons. + To “Select” (check) a Radio Button either click on the radio button, or navigate to the radio button using the arrow keys as described above and press the spacebar. holding down the 3.2. First Name - (Required Field) 1, First Name is a required field. It is left blank or contains all spaces, the system will popup ‘an error message. fist nama, It may fontain Acz, 3-2, quote, dash and spaces vith fet character letter values “A-Z”, “a-2”, a single quote (apostrophe), dash and spaces. The first character must be aletter. 3. Alias first names can be provided, separating each with a comma. 4. For any invalid entries, the system will display an error message “Invalid First Name Fst Name may only Integrated SAFE Act Reporting System (ISARS) User Guide Page 13 972572013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 a 5. As the User tabs out of the first name field, any invalid data entry will prompt system to display a red “” just after the text box, indicating that First Name is in error. 6. When the User re-enters a valid first name, the red “*” will disappear. 3.3. Last Name — (Required Field) 1. Last Name is a required field. If it is left blank or contains all spaces, the system will popup an error message. ‘Numeric values are not allowed. The Last Name May only contain the values “A-Z", “a-z", quotes, dash and spaces with first character must be a leter. Alias last names can be provided, separating each with a comma, 4, For any invalid entries, the system will display an error mess a Invalid Last Name Last Name may only contain AZ, are, quote, dash and spaces with st character 8 letter 5. As the User tabs out of the last name field, any invalid data entry will prompt the system to display a red “*" just after the text box, indicating that Last Name is in error. 6. When the User re-enters a valid last name, the red **” will disappear. Provider Profession Type — (Required Field) 1. Provider Profession Type is a required field. The User must select any one of the radio buttons that match their profession type. 2. Except for “Psychologist (License Exempt)”, all other Profession Types are required to enter a NYS License Number in the box under “License Number” Note: Since the system validates the providers, a Nurse Practitioner should always select “Registered Nurse” as their provider professional type. Integrated SAFE Act Reporting System (ISARS) User Guide rage 14 9725720133. Ifthe User selects “Psychologist (License Exempt)”, the system will not display the box for entering a License Number as it is not required 4. Depending on which Provider Profession Type is selected, the system help to guide the User in selecting the correct, Provider License Number — (Required Field) |. The License Number must either have six numeric digits, or start with a “B”,“I", or “L" followed by five digits. For any invalid entry, the system will popup an error message. Invalid Licence Number Must be either 6 digite ff start with ByLL. followed by 5 digits. For example 222222, 12545, 112945, Blaase include leading ‘and trailing ze! Last 4 of SSN - (Required Field) ‘The Reporting Professional must enter last four digits of their SSN. For any invalid entry the system will popup an error message. rage 1S 9nsn013Office Of Mental Health om Invalid SSN4 Number AV) Must be 4 digits: Please indude leading or training 3.7. Date of Birth - (Required Field in MM/DDIYYYY) 1, Date of Birth is @ required field. [fit is missing or invalid, the system will display appropriate error messages. Out of Range Date of Birth cannot be 2, Pot NY SAFE Act reporting, the minimum age of the Reporting Professional must be 16 years, 3. Age is calculated based on the current date minus the date of birth (DOB). The result should be greater than or equal to 16 years. 4. Ifthe age is less than 16 years, the system will display an error message. NYS Provder Professional ‘minimum age is 16 birthday on or before: 05/07/1997 Phone Number ~ (Required Field) Phone Number is a required field. If it is missing or invalid, the system will display an appropriate error message. 2. Phone Number should be entered in the standard format (999) 999-9999 Integrated SAFE Act Reporting System (ISARS) User Guide Page 16 9nsn013Integrated SAFE Act Reporting System V 1.0.2.6 Invalid Phone Number Verify 10 digits and a valid telephone number with 3.9. Phone Number Extension — (Optional Field) This is an optional field. If entered, it should contain a valid extension number. 3.10. Email Address - (Required Field) 1. E-mail Address is a requited field. IF itis missing, the system will display an error message. 2. A valid email address should be entered in the standard format. For any invalid entry, the system will display error messages, as shown below: ‘Could not find an email Server forthe domain Socom’. Please enter a valid email address. Integrated SAFE Act Reporting System (ISARS) User Guide Page 17 972872013Office Of Mental Health Integrated SAFE Act Reporting System V1.02.6 4. DATA ENTRY - “PROFESSIONAL RELATIONSHIP TO PERSONS” 4.1. Person is Currently Hospitalized |. If the patient being reported is hospitalized and the Reporting Professional is submitting the details on behalf of the hospital, then the “Hospitalized” check box should be checked Ebspiteized: 2. A valid hospital name is required to be entered. For any invalid entry, an error message will popup. Invalid Hospital Name it may contain AZ, Z,quotecomma, $L80.6.6) with frst 4.2. Treatment Team Member 1. All Reporting Professionals must indicate if they are directly seeing or on the treatment team of the Person Being Reported. The following pop-up guidance is displayed when the user clicks the “Help” icon alongside the “Treatment Team Member” label Treatment Team Member lunder some circumstances, you as submitter of a 9.46 report are not directly on the rreatment team for the person. lin that case, you must stil meat all NY SAFE Act 9.45 requirements and Jauslfications. JAdditionally, you must specify someone who is on the person's treatment team, is Jauslfied to submit a 9.46 report and has directed you to file this Fepart on his or her Jbeharr © reduce submittal effort, the treatment team member's NY SEO license, last four Josn and date of birth are not required as you will attest under your credential, Understood, 2. By default, the “I am on the treatment team for person being reported” checkbox is “checked” when the reporting profession first opens the Safe Act Reporting portal. grated SAFE Act Reporting System (ISARS) User Guide Page 18 9nsn013Office OF Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 If the Reporting Professional is not a member of the treatment team then contact information for a member of the treatment team must be provided. When the “I am on the treatment team. for person being reported” checkbox is unchecked by the Reporting Professional, then the system will display a group box for the Reporting Professional to provide contact information for the treatment team member. Note that the License Number is not collected for the treatment team member as the submitter is submitting the report using their own credentials. (see: Proxy Reporter Attestation — (Required Action} ) 4.2.1. First Name — (Required Field) 1. First Name is a required field. If it is left blank or contains all spaces, the system will popup and error message. g\ Reauired First Name Enter the Treatment ‘Team Members frst fname. It may contain Az, a, quote, dash and spaces wih Fist character a lobar 2, Numeric values are not allowed and cannot be entered. The First Name may only ‘contain the values “A-2”, “a-7”, a single quote (apostrophe), dash and spaces. The first character must be a letter. . 3. Alias first names can be provided, separating each with a comma. 4, For any invalid entries, the system will display an error message. Integrated SAFE Act Reporting System (ISARS) User Guide Page 19 97282013Invalid First tame Fist Name may only contain Az, 9-2, quote and 5._As the User tabs out of the first name field, any invalid data entry will prompt the system to display a red “*” just after the text box, indicating the First Name is in error. 6. When the User re-enters a valid first name, the red “*” will disappear. 4.2.2. Last Name — (Required Field) |. Last Name is a required field. Itis it left blank or contains all spaces, the system will (Bet Name may ont ‘conta £2, 32, peed, ‘quote, dash and epacec 2,0 2°, quotes, dash and spaces with first character must be a letter. 3. Alias last names can be provided, separating each with a comma, 4. For any invalid entries, the system will display an error message Invalid Last Name LRSEName may ey contain A, 3, a dash and shacee with frst 5. As the User tabs out of the last name field, any invalid data entry will prompt the system to display a red “*” just after the text box, indicating that Last Name is in error. 6. When the User re-enters a valid last name, the red “*” will disappear. 4.2.3. Contact Profession Type - (Required Field) 1. Contact Profession Type is a required field. ‘The Reporting Professional must select any ‘one of the radio buttons that matches the profession type for the treatment team member aware of the submission. 2. Unlike the mental health professional above, the profession type must be chosen to verify compliance with 9.46; however the treatment team member's license number, dob and last four ssn are not requested, Integrated SAFE Act Reporting System (ISARS) User Guide rage 20 9sn2013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 4.2.4, Contact Phone Number — (Required Field) 1. Contact Phone Number is a required field. If itis missing or display an appropriate error message. 2. Contact Phone Number should be entered in the standard format (999) 999-9999 alid, the system will wumber Very 10 dis and a vats {elehoneramber wth 4.2.5. Contact Phone Extension — (Optional Field) 1. This is an optional field, If entered it should contain a valid extension number. 4.3. Last Seen — (Required Field) Last Seen is required field, A valid date may be entered, or selected from the drop down calendar. Ths should be the date when the patient was last seen by the Reporting Professional . 1 Integrated SAFE Act Reporting System (ISARS) User Guide rage 21 9sn013Office OF Mental Health Integrated SAFE Act Report on 4.4, Treatment Relationship - (Required Field) System V 102.6 |. This is a required text field. The Reporting Professional must enter their professional relationship with the patient being reported, 2. The system will display an error message for any invalid entry (e.g,, the first character is not letter), Invalid Relationship Text Te may contain A-Z,a-z,0- 9,quote,comma,period,$,1,8,#,@, 5. DATA ENTRY - “PERSON BEING REPORTED” 5.1. First Name — (Required Field) 1. First Name is a required field. If itis not entered, the system will display an error message. Required First Name Enter the person's Fist ion Last'Sq fname, Te may contain MWD} AC2, ane, quote, da: fermgn| _Shaedar lator 2. For any invalid entries, the system will display an error message. Integrated SAFE Act Reporting System (ISARS) User Guide Page 22, 9nsn013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 Invalid First Name First Name may only contain A-Z, a-z, quote and spaces with first character a letter 3. Numeric values are not allowed (and cannot be entered). First Name may only contain the values “AZ”, “a-z”, quotes, dash and spaces and the first character must be a letter. 4, First Name must not have all spaces. 5. Alias first names ean be provided, separating each with a comma. 6. As the User tabs out of the First Name field, any invalid data entry will prompt the system to display a red “*” just after the text box, indicating that First Name is in error. 7. When the User re-enters a valid first name, the red “*” will disappear. 5.2. Middle Name — (Optional Field) 1. This is an optional field. 2. For any invalid entries, the system will display an error message. Middle Name may only contain A-2, a-z, quote and spaces with Middle Numeric values are not allowed and can not be entered. May only contain values “A-2”, “a 2”, quotes, dash and spaces and the first character must be a letter (message will be corrected from *...spaces with Middle...” to “First” in next release). 4, Middle Name can be left blank, but cannot contain all spaces. Last Name ~ (Required Field) 1. Last Name is a required field. If it is not entered, the system will display an error message. Tntegrated SAFE Act Reporting System (ISARS) User Guide Page 23, 9nsa013contain AZ, 3-2, Period quete, dash and Spaces with frst Character 3 later For any invalid entries, system will display an error message. Numeric values are not allowed. Last Name may only contain the val quotes, dash and spaces, and the first character must be a leter. Last Name cannot contain all spaces. Alias last names can be provided, separating each with a comma. ues “A-2", "a2", As the User tabs out of the Last name field, any invalid data entry will prompt the system to display a red“? just after the text box, indicating that Last Name When the User re-enters a valid Last Name, the red **” will disappear. in error. Other Name / Maiden Name — (Optional Field) 1. This is an optional field. 2. For any invalid entries, the system wi lay an error message. ah Invalid Name Surnames may only 3. Numeric values are not allowed. Other Name / Maiden Name may only contain the values “A-Z",“a-2", quotes, dash and spaces, and the first character must be a letter. 4, Other Name / Maiden Name may be left blank, but must not contain all spaces. 5.5. Street Address Unknown Integrated SAFE Act Reporting System (ISARS) User Guide 972872013 Page24Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 Ifthe Street Address of the subject ofthe report is not known to the Reporting Professional, and cannot ‘be obtained through any means, the User should check the “Street Is Unknown” checkbox located just below the “Street2” text Entry line: Doing so will hide the “Street” and “Street2" text entry lines but still enable the entry of the subject's “City”, “State” (which is always “NY”) “Zip Code” and “County of Residence”. 5.6. Postal Address Unknown Ifneither the Street Address, City, Zip Code, nor County of Residence for the subject are known, and are not attainable by any means, the User must check the “Postal Address Unknown” box. They will then be required to click “Understood” to the following message before proceeding with data entry: Postal Address Unknown percon’s adress s reared. By chocking tis you lave asserted Wat fut postal adores is umattanavia Copesons) 5.7. Street/City/State/Zip Code — (Required field: address is known) New in Version 1.0.2.5: Geographic Information System will automatically fill in the Zip Code and County when a valid Street Address and City are entered, or a valid City and County when a valid Street Address and Zip Code are entered. 1, If the address is known, then the User must enter the street address, street address 2(optional), city name, and zip code. All fields should be valid entries. 2. “New York” State is selected by default and cannot be changed as Users should only report ‘on New York State residents Integrated SAFE Act Reporting System (ISARS) User Guide Page 25 92s20133. Street: The Street field will not accept special characters; only letters, numbers, quotes, periods, of spaces may be entered. Any missing or invalid entries for street will generate error messages: ‘may only contain Ieiters, numbers uote, period and Spaces orcheck address sunken 4, Stteet2: is an optional field. 5. City: Other than a single quote (apostrophe) the City field will not accept special characters ‘or numbers. Any invalid entries for acity (e.g., spaces in the first character) will generate error messages: Iva ty City may only contain letters, quote, and describing the requirements for this field. Select “Close” to close thi tegrated SAFE Act Reporting System (ISARS) User Guide Page 26 9728/2013State SAFE secton 9.46 of the Mental Hiygene Law (ibe noe by Eat actin thus the prsen peed sous be 2 7. Zip Code: Enter a valid Zip Code. This field will not accept letters, special characters, or spaces. Je iptode Required Emer zipcode or checle address unknown ‘Accick on the 4, will pop up a message window, describing the requirements for this field, seleet “Close” to close ths. In this example, the entered zip code of “12828” belongs to multiple counties. The User must select a county or opt to manually set it by clicking the “Manually Set Later” button and selecting the county of residence from the “County of Residence” drop-down Integrated SAFE Act Repo 972872013 ing System (ISARS) User Guide Page 27Office OF Mental Health 5.8. Address: County of Residence - (Required 1 3 Integrated SAFE Act Reporting System V 1.0.2.6 Zipcode Spans Multiple Counties since it spans counties, [cick To Choose A County: © sartose Id) fadaress of the patient being reported is known and a valid zip code is entered correctly, the County of Residence that matches the Zip Code will either be automatically populated, or the User will be presented with the option of selecting matching counties from a pop-up message, as shown in #7 of Section 5.5, above. IF the address is not known, but the County of Residence of the person being reported is known, the correct county should be selected from the drop down list of NYS counties. If the subject’s County of Residence is not available, the Reporting Professional should select his/her own County of Residence. Integrated SAFE Act Reporting System (ISARS) User Guide Page 28 gnsno13Office Of Mental Health on Integrated SAFE Act Reporting System V1.0.2.6 ‘This should be the county for the perton, 5.9. Date of Birth or Approximate Age — (Required Field if DOB is known) 1. For SAFE Act reporting, the minimum age of the patient being reported must be between 0 - 120 years. MM/DDIYYYY ig 2. Ifbirth date of the person being reported is known, a valid date must be entered. Any invalid date entries will cause the system to display error messages. tegrated SAFE Act Reporting System (ISARS) User Guide age 29 9728/2013Office Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 Person raported date of * bith can be in the future, birthday on or before: os/i6r20%3 3. If DOB of the person being reported is not available, the Reporting Professional must select and check the “Date of Birth Unknown” check box. A pop up message window will then display the requirements for this field; clicking on the “Linderstood” button will close this. EOLA RAR e Lae person's date of birth is required. By checki his you have ascerted that date of birth is inattainable by any means and you will provide @ ‘Quese for their a 4. If DOB of the person being reported is not available, the Reporting Professional must guess his/her approximate age and enter it in the “Guess Person's Age” field, ing on the @ for the “Guess Person’s Age” field will display a pop-up message o window, explaining the requirements for this field; clicking on the “Close” button will close it. Integrated SAFE Act Reporting System (ISARS) User Guide Page 30 9nsr013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 tention a erie a 6. The system will validate the age range and will generate error message if it is more than 120 years. choose NY county — 5.10. Social Security Number — (Required Field) 1, Social Security Number (SSN) of the person being reported is a required field. If known, it ‘must be reported. Any invalid entry will generate an error message. Social Security Number Unknow Run ROWS 2. Ifthe SSN of the person being reported is not available or not attainable by any means, the Reporting Professional must select and check the “Social Security Number Unknown” check box. A pop up message window will then display the requirements for this field. Clicking on the “Understood” button will close this. Integrated SAFE Act Reporting System (ISARS) User Guide age 31 97sr2013Omce Of Mental Health Integrated SAFE Act Reporting System V 1.02.6 een aa tee he person's social security number is required. By checking this you have asserted that the person's social security number is unattainable by| 5.11, Gender - (Required Field) 1. Gender is a required field, If none of the radio buttons for gender are selected, the system will display an errr message ‘A gender for the person ™ Qh feccres OFemale OMale _OUnknown 512, Race — (Required Field) 1. Race is a required field. If none of the radio buttons for race are selected, the system will alert the User when they attempt to submit the report Recenter ome Requied Fells ate not yet filed in oF do not match the recived formating. find the vabdation failed fields and correct them. Clicking “Ok” will close the “Validation Errors” message. The User should then go and select cone of the radio buttons must be selected for the appropriate race, Integrated SAFE Act Reporting System (ISARS) User Guide Page 32 9728/2013Office Of Mental Health 5.13, 3. 4 5 This is an optional field only if the Diagnosi tunattainable by any means, the Reporting Professional should select code “799.91: Diagnosis ‘or Condition deferred on Axis Integrated SAFE Act Reporting System V 1.0.2.6 Diagnosis — (Optional Field If Unknown) [B81 : Alcano! induced Pryce Drde, With Bahsona (2939 : Mental oordr Nos ove t.{indcate the General Mecca Condon] 254.9 Cogntve Dworder NOS (286 7: Sealer word, Most Recant Episode Unspecified [2971 Oeamiona osorder 1297.3 Shore Paychtie sordar 208.8: Git ryctosc Deorser RRS Berchet Orerder NOS the User should select the most appropriate diagnosis code from the drop down Ifa Diagnosis code is not selected, the system will display the following message: Diagnosis Is Required Start typing a DSM-IV-TR code or text and select a primary diagnosis If unattainabled by any means choose DSM-IV TR code 799.91 for Deferred unknown, If the Diagnosis Code is To search for a diagnosis code, enter at least one letter or number. For example if the User has entered “2”, system will display a list of DSM codes containing a “2” as shown below: If Characters are entered into the “Diagnosis” field, but no Diagnosis is selected from the drop-down the following warning message will display. Click “Close” to close it Integrated SAFE Act Reporting System (ISARS) User Guide 952013 Page 33Office Of Mental Health om Integrated SAFE Act Reporting System V 1.0.2.6 Diagnosis Typed In But Code Not Selected "Yu entaresin text into the diagnosis eld but dt elect» diagnosis Enter Upto two characte and a ropdown wl appear ‘F Scoctthe Oagnestic and Stausteal Manual of Menta Disorders (OSM-AV-TR) code (dot is optional) Net that te serch can match ether the description or part ofthe code. er exami entering 29" wil show 2 op down list of at codes canting a 29 {entering 282.8" and "2028" wil equivalently show dagnoas codes 202.81, 292.92, ot. “nlcring “order wa show al toe Sagnonse ath tse word h te deeeptes 6. Now click on the “Close” button and enter, for example, "29" 7. Select the desired Diagnosis (in this example, “2913” is selected) Alcohol Intoxication/ withdrawal Dalivum ‘Alcohol-Induced Persisting Amnestic Disorder ‘Alcohol. Induced Persisting Dementia ‘Alcohol-induced Psychotic Disorder, With Delusions ‘Alcohol-Related Disorder NOS. | Substance withdrawal Substance-Related Disorder NOS | Delirium Due to...[Indicate the General Medical Condition} 1 1 Mental Disorder NOS Due to...{Indicate the General Medical Condition ‘Amnestic Disorder Due to...[indicate the General Medical Condition} 8. The system will display the selected Diagnosis in the “Primary Di Selected” field. 9. To delete a selected Diagnosis code and select another one, click on the “X” button and repeat the process for selecting a Diagnosis. Integrated SAFE Act Reporting System (ISARS) User Guide Page 34 9728/2013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 5.14, Reason - (Reqi dl Fi Id) 1. This is a required field. The Reporting Professional must enter the reason why they believe the patient being reported is a specific threat. This text field has a minimum requirement of 50 characters, and an upper limit of 500 characters. The system will display either the amount of characters needed to reach $0, or the amount of remaining characters in the bottom of this box. cient has tagie talciiel-iceationes this pe tent vase Inieiaily brevohe to the UN by] lice and’ subsequently becane vicient so the Paych fac, theeateniog're cbxats S'wzpon | jand shoot anyone who attempted td | Integrated SAFE Act Reporting System (ISARS) User Guide age 35 9728/2013Integrated SAFE Act Reporting System V 1.0.2.6 es RR TSE 6, SUBMISSION AND REPORTING Security & Submit - (Required Action) 1. This is a requited action for security check 2. Enter the CAPTCHA security code exactly as shown and click on the “Submit” button. Enter Security And Submit: 4. Ifthe Reporting Professional cannot read the Captcha code, they can click on this refresh button to receive a new one: WED 5. If the reporting Professional cannot read the Captcha code due to visual impairment or other "y ean click the “speaker” icon to listen to an audio version of the CAPTCHA Integrated SAFE Act Reporting System (ISARS) User Guide Page 36 9282013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 Validation & Resubmission - (Required Action) 1. Once a User has clicked on the “Submit” button, the system will verify and validate all of the centered data. If any entries are invalid or missing, the system will display a “Validation Error” message. 2. Click on the “OK™ button. REICEenisacie ome Required Fields are not yet filled in or do not mate 18 required formatting Please find the validation failed fields and correct them. 3. System will display the data entry screen along with highlighted erroneous or invalid fields that are required to be fixed. 4. Once all the fields in error are fixed with valid entries, the Reporting Professionals must enter anew CAPTCHA security code and click on the “Submit” button as before. Integrated SAFE Act Reporting System (ISARS) User Guide age 37 9nsi2013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 Self Attestation - (Required Action) ‘After the system has successfully checked and validated all the data fields, and all are found to be complete and correctly formatted, a self attestation window will be displayed (see below). Reporting Professionals will need to check the “Affirm All of the Above” check box, and click on the “Submit” button that displays when the “Affirm...” button is pressed. If the Reporting Professional wishes, they can cancel the attestation process by clicking on the “Cancel” button without checking the “Affirm All of the Above” check box. REE eee ee eee eee ee declares, under penalty of perjury, that the following is true and correct: ‘uta main pve he repr page ean comet 1am biting romaton rete by Sten 9.4 of t “pata at roving the na, alaes, dc, at ft, sn gn, race, a imay ngonx mprtant ond 403, ot ‘he per “pesensupanég weve ternng hat 3 engi awn nd passant ‘ey ee vou a salsa luo oa 8, contact ny ae Oo Sees Kae ter prope @ Affirm All of the ADOVE remy or 2012 1527-23 [Sort (Gane Integrated SAFE Act Reporting System (ISARS) User Guide Page 38 9nsn013Integrated SAFE Act Reporting System V 1.0.2.6 6.4. Proxy Reporter Attestation — (Required Action) L fier the system has successfully checked and validated all the data fields, and all are found to be complete and correctly formatted, a proxy report attestation window will be displayed (see below). Reporting Professionals will need to check the “Affirm All of the Above” check box, and click on the “Submit” button that displays when the “Affirm...” button is pressed. Ifthe Reporting Professional wishes, they can cancel the attestation process by clicking, on the “Cancel” button without checking the “Affirm All of the Above” check box. MEE ee ee eee ee Doctor Test, declares, under penalty of perjury, that the following Is true and correct: + 1am a physician, paychologist, registered nurse or lcensed clinical social worker and 1 am submitting this report on behalf of the professional dented ints report, who alo i 9 physician, psychologist, registered nurse or kcensed cinical socal worker and who has recently provided mental heath treatment services to the eubjact of this report and determined that, in his/her reasonable professional judgment. the subject of this report has 2 mental lives and is kel to engage m conduct that would reaul erous harm to self or others, The identified treating professional has specifically drectad me to fie this report on his/her behalf is aware that I am submitung the report and has commurseated to me the cinical reasons upon which he/she has determined that the subject fs such a person. Ihave confirmed that the information provided in this report is complete, true and correct and is fuly im accordance with the prowsions of Section 9,46 Of the Mental Hygiane Lav, and 1 have included these reasons in th report Thave provided sufficient contact information so that the treating processional can be contacted to confirm such report or to provide adstiona information as required by tha appropiate OCS or his/her designee, understand that providing the name, aliases, address, date of bith, ssn, gender, race, and primary agnosis is mportant to corracty Identify the person wh Is the subject of this report and # any such information is omitted is only because such information is unknos. “That the sole purpose of the wisclosure of tis infomation is for determining vhethor a fraarm Kcanse issved pursuant to Section 400.00 of the Penal Law should be suspended or revoked, for determining wether 3 person is mesg fora cance ssued pursuant to Section 400.00 of the Penal Law, or i= no longer permitted under State or federal aw to possess a fear. Turderstand that ifthe individual haa a mental sess for which immediate cara and treatment in 3 hospital is appropriate and which i lkaly to result in serous harm to self or others, 1 shoud aloo cal 941, contact my local OCS or designee or take other appropriate action for possible removal and transport to 2 hospital for an examinabon. Affirm All of the Above | Integrated SAFE Act Reporting System (ISARS) User Guide Page 39 9nsn013Office Of Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 6.5. Submit another Person - (Optional Action) 1. For all successful submissions, the system will display the following window, showing details (date and time of submission, reference number, names of Reporting Professional and Patient), The For line will only be displayed for proxy submissions 2. To submit another patient, the User must click on the “Suby the reporting process, the User must click on the it another Person” button. 1 ‘inished” button, end See Submitted On: 3/14/2013 9:17:14 AM Reterance Number: QV6XtL TPiQUEaCpsrsuhVA, John York SubmitAnotherPerson «||. Finished 3. The system will then display a “Thank You end the s message. Users must click on the “Close” button to ssion, ‘Thank you for your NY SAFE Act submittals) to New York State ‘Youre data has now been cleared. Tntegrated SAFE Act Repo 9728/2013 ing System (ISARS) User Guide Page 40Integrated SAFE Act Reporting System V 1.0.2.6 7. NEED HELP & “CONTACT US” OPTIONS 7.4. Need Help - (Optional Action) |. Ifyou need any help, just click on the “Help” link, system will open the reporting portal user guide. Help 7.2. Contact us for further Assistance - (Optional Action) |. ISARS Users needing further assistance can click on the “Contact Us" link. The system will then display the following window with information on calling the OMH Helpdesk and a clickable link to send e-mail to the “OMH Helpdesk.” Contact Us NY SAFE Act Reporting - Contact OMH Help Desk Ifyou need assistance, please email using this ink OMH Helpdesk or call (618) 474-5554 or 1-800-HELP-NYS (1-800-435-7697). Be sure to specify that you are having trouble with the NY SAFE Act Reporting system, ‘You should receive an NYS OMH ticket number to aid in follow up communication, Clicking on the “OMH Helpdesk” link will open a mail message window (see below), for Users to enter their issues along with their name, email, and a description of the issue. IMPORTANT: This message is sent by Unsecure mail, therefore, visitors should NOT transmit personal or medical information about themselves or other persons using this “Contact the Help Desk” function. OMH CANNOT GUARANTEE THE PROTECTION/ INACCESSIBILITY BY OTHERS OF INFORMATION INCLUDED ON THIS FORM AND SENT TO OMH. ‘This help request is then sent by clicking on the “Send Mail” respond as soon as possible. * button. The OMH Help Desk will Tntegrated SAFE Act Reporting System (ISARS) User Guide Page 41 onsi013Office OF Mental Health Integrated SAFE Act Reporting System V 1.0.2.6 Mail Message Please enter your name, e-mail address and message below, then press ‘Send Mai. Your Name: ge: Please note that although tho message box does not change size the limit to the amount of cantent you can enters 1000 characters he content i larger than the message box a scroll bar wil appear (ta the nght ofthe box) s0 you an rovow al of your text before submting, ‘This fom enables wstors to yoav.omh.ny.qavto submit information to OMH by UNSECURE EMAIL. Email sent to ‘OME through this ste is not secure, so stor should NOT transmit personal or medical information about themsehes or other persons using ths function. OMH CANNOT GUARANTEE THE PROTECTION! INACCESSIBILITY BY OTHERS OF INFORMATION INCLUDED ON THIS FORM AND SENT TO OWH. Tategrated SAFE Act Repo 97522013 ig System (ISARS) User Guide Page 42Fox v. NYS Police Exhibit FF — eJustice Screen ShotsMP 90) tere DIDI _ (xv) 5 winou oi [eine ies eens | ae ind ooo oe ‘Runsew qoawes vodow SOI TH = = ier 120s ode Som Hn ‘a © pag yo 280Fox v. NYS Police Exhibit GG — NYS Police 9.46 and 9.41 Lettersrue 19899 rae G00 /903 ‘NEW YORK STATE POLICE PISTOL PERMITS BUILDING 22, 1220 WASHINGTON AVE. ALBANY, N. Y, 12226-2252 Fax # 518-869-3819 Phone # 518-464-7120 *CONFIDENTIAL FAX* NB County Clerks Office: Attn: I Fax i From: Technical Sergeant Timothy K. Jackson Date: QM Re: MHL 9.46 Notification Letter for: KQE-Dob-@iaay PAGES: 3 (includes fax cover sheet) Fax Cover Disclaimer ‘The contents ofthis Hex message and any atachment te intended solely fac the addresce() ‘osmed in this message This communication intended wn be and to remain confidental and raay be subject to applicable atomes lint and/or work predic piven, fy are coe he intended ceipient ofthis message, orf chis message bas Deen adrented mo Fs in eto, please imameciely slr dhe sender by Gx an then deseo this message ad es aches Do not deiver, dnuibate or copy this message and/or any atechmsens wait you ape not the inended recipient, do noe dclose the contents oc ake say sen in reliance upon the faforenation Contained in thie commonieacion o any atrachment2023 un 19169 (MBB? 200 1509 He ae027003 JOSEPH A. D’AMCO ‘SUPERINTENDENT NEW YORK STATE POLICE BUILDING 22 1220 WASHINGTON AVE, ALBANY, N.Y. 12226-2252 September 17, 2013, Attn: Pistol Permit Office Pursuant to section 9.46 of the Mental Hygiene Law, the Division of State Police provides notice that a mental health professional has determined, and the Director of Community Services has concurred, thal a person identified as KQ@UEMEEIND, date of birth QUINN is “likely to engage ‘in conduct that will cause serioux harm to self or others.” The New York State Police has made a non-fingerprint-based identification consistent with a subject bearing the same name and non- olinical identifying information who is a licensee ar an applicant for a firearms license in your Jurisdiction. Please be aware thatthe identity of the subject is based on a match of the following information: Name: _— ODateof Sith: 8 Other: Aes Gender: Male Ruce: White ‘Therefore, pursuant to the Now York Secure Ammunition and Firearms Act (NY SAFE Act, Chapter 1 of the Laws of 2013), the State Police provides the enclosed information for your immediate review to enable licensing officers, or any judge or justice of a court of record, to take appropriate action before you revoke or suspend the subject's license or deny the subject's application,MMB? wD LHD ae ‘To assis in further identifying the individual, the contact information of the reporting medical professional and the State Police Meraber assigned to this notification is below: MH PROFESSIONAL CONTACT INFORMATION MHP Nome: QE MHP Phone: MEP Emnoi1: NYSP MEMBER WHO INVESTIGATED NOTIFICATION ‘Name: Technical Sergeant Timothy Jackson Phone: (518) 464-7120 Jn the event that a suspension or revocation order is issued, please provide the name of the law ‘enforcement agency to which the order was referred, This notification should be handled with attention given to strict confidentiality, Thank you in advance for your immediate attention to this matter. Very truly yopcs, a James B. Sherman Technical Lieutenant Pistol Permit Bureau New York State Patice @e03/003‘SUPERINTENDENT NEW YORK STATE POLICE BUILDING 22 1220 WASHINGTON AVE. ALBANY, N.Y. 12226-2252 Wo = County Clerk’s Office or ‘The Division of State Police has become aware that a person identified as SEES (005) GBP 1946, has been adjudicated as a mental defective or has been involuntarily committed to a mental institution. Under federal law, this individual is prohibited from possessing a firearm, rifle or shotgun pursuant to 18 U.S.C. 922(e)44) The New York State Police has made a non-fingerprint-based identification consistent with a subject bearing the same name and non-clinical identifying information who is a licensee or an applicant for a firearms license in your jurisdiction. Please be aware that the identity of the subject is based on a match of the following information: ‘The State Police provides the enclosed information for your immediate review to enable licensing officers, or any judge or justice of a court of record, to take appropriate action before you revoke orsuspend the subject’s license or deny the subject’s application. To assist in further identifying the individual, the contact information of the reporting medical Professional can be obtained by calling Mr. John Allen, Special Assistant to the Commissioner of the ‘New York State Office of Mental Health at (518) 473-6579, ‘The State Police Member assigned to this notification is below: (G18) 464-7120 In the event that a suspension or revocation order is iggued, please provide the name of he law enforcement agency to which the order was referred. * ths nolification should be handled with attention given to strict confidentiality, ‘Thank you in advance for your immediate attention to this matter. Very truly yours, James E. Sherman ‘Technical Lieutenant Pistol Permit Bureau New York State PoliceFox v. NYS Police Exhibit HH — Order to Show CauseSTATE OF NEW YORK aa DOMES \ COUNTY COURT COUNTY OF Gi = 0s GB P 213 In the Matter of the Pistol Permit of ORDER TO SHOW CAUSE AND > © INTERIM ORDER Respondent. PISTOL PERMIT NO. CW? (MHL §9.41 Notification to Licensing Authority) PRESENT: Hon, (I Judge ‘The Court having been furnished with a notice pursuant to §9.41 of the Mental Hygiene Law identifying the above named respondent may be @ person who has been "adjudicated as a mental defective or has been involuntar-ly committed to a mental institution" and as a result is probibited from possessing a firearm, rifle or shotgun pursuant to 18 U.S.C.§922 (e)(4); Penal Law §§400.00(1)G) and (11)(@), LET, DQ show cause at a Term of this Court to be held in and for the le nn. pasfene ne in ED oo A 22 120 leon emer omson heard, why an order’ be mad: pistol permit number CW. issued to respondent by the Wl County Court on {INNES and the immediate disposition of any and all(@l hand end lorig guns in accordance with the law, and for such other and further relief as to the court may seem just and proper. ‘And, in the meantime and until the further order of this cour, the pistol license of DU (WERE bearing number CWSI oF any amendments thereto is suspended.And the {QJM County Sheriff is >:lered to take possession, from wherever located, all firear.s.tifles or shotouns-owned or in wisich the respondent has an ownership interest, whether registe:ed, unregistered or co-registered, or ia the possession of the respcndent including, but not Timites to, the firearms listed below: 1 2 3. | and told the same subject to further Court order and present said pistol license to the Clerk of the WP Supreme and County Courts, and Further, in accordance with Penal Law §400.00(1 1)(), in the ew cut the respondent fails to surreuder the above described firearms, rtles or shotguns upon receipt «'u copy of this order, any police officer or peace officer acting pursuant to his or her special duties is authorized to remove any and all such weapons, AND, it appearing to my satisfac:ion that said motion should be brought on in less time than siould be required under an ordinery notice of motion, let personal service of this order and the pepers upon which it is granted, upon the respondent herein on or before the day of 5, before _ {7:00 saamPika) be deemed sufficient. sexsi MM, of, 2015. at (UE New York. \County Judge cc: }County Sheriff (County Clerk istol Permit Bureau lew York State Police (County Pistol Permit Clerk