Foia Appeal Form - To Appeal A Denial Of Records
Download a blank fillable Foia Appeal Form - To Appeal A Denial Of Records in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Foia Appeal Form - To Appeal A Denial Of Records with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Wells Township, Tuscola County
2190 Frankford Rd
Caro, MI 48723
Phone: 989-673-4481
FOIA Appeal Form—To Appeal a Denial of Records
Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.
Check if received via: Email Fax Other Electronic Method
Request No.: __________
Date Received: ___________
Date of This Notice: _________________
Date delivered to junk/spam folder: _______________
(Please Print or Type)
Date discovered
in junk/spam folder: _______________
Name
Phone
Firm/Organization
Fax
Street
Email
City
State
Zip
Copy
Certified copy
Record inspection
Subscription to record issued on regular basis
Request for:
Will pick up
Will make own copies onsite
Mail to address above
Email to address above
Delivery Method:
Deliver on digital media provided by the township: ________________________________________________________________
Record(s) You Requested: (Listed here or see attached copy of original request) ____________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Reason(s) for Appeal:
The appeal must specifically identify how the required fee(s) exceed the amount permitted. You may use this form or attach additional sheets:
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Requestor’s Signature: ______________________________________________________________________________Date: ______________
Township Response:
The township must provide a response within 10 business days after receiving this appeal, including a determination or taking one 10-day extension.
Township Extension: We are extending the date to respond to your FOIA fee appeal for no more than 10 business days, until ________________
(month, day, year). Only one extension may be taken per FOIA appeal.
Unusual circumstances warranting extension: _________________________________________________________________________________
______________________________________________________________________________________________________________________
If you have any questions regarding this extension, contact: ______________________________________________________________________
Township Determination:
Denial Reversed
Denial Upheld
Denial Reversed in Part and Upheld in Part
The following previously denied records will be released: ________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Notice of Requestor’s Right to Seek Judicial Review
You are entitled under Section 10 of the Michigan Freedom of Information Act, MCL 15.240, to appeal this denial to the township board or to
commence an action in the Circuit Court to compel disclosure of the requested records if you believe they were wrongfully withheld from disclosure.
If, after judicial review, the court determines that the township has not complied with MCL 15.235 in making this denial and orders disclosure of all
or a portion of a public record, you have the right to receive attorneys’ fees and damages as provided in MCL 15.240. (See back of this form for
additional information on your rights.)
Signature of FOIA Coordinator:
Date:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ftb 5847i - Procedure For Appealing A Denial Or Partial Denial Of Arequest For Abatement Of Interest - California State Board Of Equalization
Legal
Form Cms-r-0235mc - Compliance Plan For Accounting For Disclosures Of Privacy Protected Data Released From A System Of Records (sor) Housed In A State-located Server
Medical
Form L4260a - Notice To Assessor Of Transfer Of The Right To Make A Division Of Land - 1998
Financial
Form L4260a - Notice To Assessor Of Transfer Of The Right To Make A Division Of Land - 1997
Financial
Related Categories
Parent category: Business