Illinois Department Of Revenue - Foia-1 Freedom Of Information Act Request
Download a blank fillable Illinois Department Of Revenue - Foia-1 Freedom Of Information Act Request 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 Illinois Department Of Revenue - Foia-1 Freedom Of Information Act Request 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
1
2Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
FOIA-1 Freedom of Information Act Request
Information from the Illinois Department of Revenue
Information from the Illinois Liquor Control Commission
(Please complete Page 2)
Illinois Department of Revenue (IDOR)
Send your request to:
Date Requested:
___ ___/___ ___/___ ___ ___ ___
FOIA OFFICER
Request Submitted by: ___ E-mail ___ U. S. Mail
ILLINOIS DEPARTMENT OF REVENUE
___ Fax
___ In Person
FREEDOM OF INFORMATION OFFICE
101 WEST JEFFERSON
MAIL CODE 6-595
SPRINGFIELD IL 62702
Name of Requester: ___________________________________
Phone (Optional): (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
Street Address: _______________________________________ E-mail (Optional): ____________________________________
City/State/Zip: ________________________________________
Fax (Optional):
(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
Records Requested: Provide as much specific detail as possible. Additional pages may be attached, if necessary.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Transmittal information (for both IDOR and ILCC requests)
Do you want paper copies or electronic copies?
Paper
Electronic
What format are you requesting for electronic copies? _____________________________________________________________________
Is this request for a commercial purpose?
Yes
No
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 it is requested to do so by public body. 5 ILCS 140.3.1(c).
Are you requesting a fee waiver?
Yes
No
If you are requesting a waiver of any fees for copying the documents, you must attach a statement of the purpose of the request and whether
the principal purpose of the request is to access or disseminate information regarding the health, safety and welfare or legal rights of the
general public. 5 ILCS 140/6(c).
If you have questions, call us weekdays during business hours at 217 782-0985 or email at rev.foia@illinois.gov or fax us at 217 524-3402.
__________________________________________________ ___ ___ / ___ ___ / ___ ___ ___ ___
Printed name
Month
Day
Year
__________________________________________________
Signature
FOIA-1 (R-06/13)
Page 1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business