Freedom Of Information Form

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FREEDOM OF INFORMATION FORM
LIVONIA POLICE DEPARTMENT
CENTRAL RECORDS BUREAU
When a request for a police report that may contain information of a sensitive nature is made,
it is necessary that such a report be processed through our "Freedom of Information" Office.
See instructions below.
DATE ____________________________
NAME OF PERSON MAKING REQUEST _________________________________________
YOUR RELATIONSHIP, PERSON REPRESENTING, OR INTEREST IN
OBTAINING RECORD ________________________________________________________
REPORT NUMBER ____________ TYPE OF INCIDENT ____________________________
DATE OF EVENT ___________ LOCATION ____________________________________
NAME(S) OF INVOLVED PERSON (S) ___________________________________________
Describe the public record(s) as specifically as possible: ________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
HOME ADDRESS OF REQUESTING PERSON ____________________________________
____________________________________
PHONE NUMBER WHERE YOU CAN BE REACHED BETWEEN 8:00 a.m. AND 4:00 p.m.
______________ HOME _______________ WORK ____________ CELL ________________
1. If you are requesting a copy of a record, fill out all of the above information to the best of your
knowledge. Failure to provide sufficient information may cause delays or possibly result in our
not being able to locate the records that you want.
2. Because the records which you are requesting must be located and reviewed, our department has a
response time of five (5) business days. PLEASE NOTE: Some material may be deemed to be
exempt from disclosure and you will be advised of this in writing.
3. After the records have been located, reviewed, and prepared you will be notified of the fee. At
this time pick-up or mailing instructions will be arranged.
4. For further information, contact 734-466-2382.
NOTICE: Under the Michigan Freedom of Information Act (1976 P.A. 442) the City of
Livonia is not required to summarize, make, or compile a record for you, but only to permit you
to inspect or receive a copy of a record which it possesses and which is already in existence.
BE ADVISED THAT THERE ARE SEARCH AND REPRODUCTION COSTS INVOLVED.
PLEASE REFRAIN FROM MAKING REQUESTS
IF YOU DO NOT INTEND TO FOLLOW THROUGH.
X:\Central Records\FOIA\forms\foia request.doc

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