FOIA REQUEST FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

FOIA REQUEST FORM

**Note to Requester: Retain a copy of this request for your files. If you eventually need to file a Request for Review with the Public Access Counselor, you will need to submit a copy of your FOIA request.**

Name and Address of Public Body Receiving Request *

Date of Request *

YYYY

Name of Requester *

Address of Requester (please include city, state, county and zip code) *

Telephone, Email, Fax: (optional)

Records requested: (provide as much specific detail as possible so the public body can identify the information that you are seeking. *

How would you like to receive your documents? Paper or electronic copies? *

Paper

Electronic (be sure your email address has been included in this request)

Is this request for Commercial Purpose? (it is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a commercial purpose without disclosing that it is for a commercial purpose, if requested to do so by the public body.

5 ILCS 140.3.1(c))

Yes

Are you requesting a fee waiver? (if you are requesting a that the public body waive any fees for copying the documents, you much attach a statement of the purpose of the request, and whether the principal purpose of the request if to access or disseminate information regarding the health, safety, and welfare or legal rights of the general public. 5 ILCS 140/6(c)) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms