Village Of Frankfort - Freedom Of Information Act Request Form

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VILLAGE OF FRANKFORT
FREEDOM OF INFORMATION ACT REQUEST FORM
So the Village of Frankfort knows exactly the public records you are requesting and can timely act to process your request in
conformance with the Freedom of Information Act (“Act”) (5 ILCS 140/1 et. seq.) please complete the following:
I.
Date:__________________________________
II.
Contact Information: Name:______________________________
Address: ______________________________
Village/City
______________________________
State/ZIP:
______________________________
Email:
______________________________
Telephone:
______________________________
III.
State the specific public records you are requesting:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
IV.
Would you like to inspect the public records or have the public records copied? Please check as appropriate
______ I would like to inspect the public record.
______ I would like a copy of the public record.
___ Paper or ___Electronic (Format____________)
V.
The Freedom of Information Act allows a public body to determine if public records are requested for a commercial purpose.
Section 2(c-10) of the Act defines commercial purpose:
“Commercial purpose” means the use of any part of a public record or records, or information derived from public records, in any form
for sale, resale, or solicitation or advertisement for sales or services. For purposes of this definition, requests made by news media and
non-profit, scientific, or academic organizations shall not be considered to be made for a “commercial purpose” when the principal
purpose of the request is (i) to access and disseminate information concerning news and current or passing events, (ii) for articles of
opinion or features of interest to the public, or (iii) for the purpose of academic, scientific, or public research or education. (5 ILCS
140/2 (c-10))
Is your request for public records for a commercial purpose?
______ Yes
______ No
VI.
Are you requesting the documents be furnished to you without charge or a reduced charge from the Village of Frankfort?
______ Yes
_______ No
If you are requesting the documents without charge or at a reduced charge please explain what you specifically are requesting
regarding charges and why it is appropriate as provided under 6(c) of the Act (5 ILCS 140/6(c)).
_______________________________________________________________________________________________
VII.
For your convenience, a copy of the Freedom of Information Act is available for your inspection during normal business
hours at the Village of Frankfort, Administrative Building, 423 W. Nebraska St., Frankfort, IL 60423 or Village of Frankfort,
Police Department , 20602 Lincoln Way Lane, Frankfort, IL 60423.
____________________________________
Signature of Requestor
FOR VILLAGE USE ONLY:
Received by Frankfort this ___ day of _________, 201__, by: ___email
___US Mail ___Fax
___Hand Delivery
Date Response due from Village: __________________________[insert date] ___ Notice of Extension New due date:_________
Date action taken on this request: _______________________
Action: (Check one)
____
Documents provided with notice.
____
Documents provided as redacted/exempted with notice.
____
Request denied with notice.
By: ____________________________________
Village of Frankfort - FOIA Officer
REVISED 01/29/2010

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