Foia Appeal Form - To Appeal An Excess Fee
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1
2Fee Appeal Form
Village of Bear Lake, Manistee County
Village: Keep original and provide copies
12376 Virginia St., P.O. Box 175
of both sides of each sheet, along with
Bear Lake, Michigan 49614
Public Summary, to requestor at no
charge.
Phone: (231) 970-2066
FOIA Appeal Form—To Appeal an Excess Fee
Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.
Request No.: __________ Date Received: ___________ Check if received via: ___ Email;
___ Fax; ___ Other Electronic Method
Date of This Notice: _____________ Date delivered to junk/spam folder: _______________
Date discovered in junk/spam folder: ______________
__________________________________________________________________________________
(Please Print or Type)
Name
Phone
Firm/Organization
Fax
Street
Email
City
State
Zip
Request for: ___ Copy; ___ Certified copy; ___ Record inspection; ___ Subscription to
record issued
on regular basis
Delivery Method: ___ Will pick up; ___ Will make own copies onsite; ___ Mail to address above;
___ Email to address above; ___ Deliver on digital media provided by the
Village
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: __________________
Village Response:
The Village must provide a response within 10 business days after receiving this appeal, including a determination or taking one
10-day extension.
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