Town Of Cicero - Freedom Of Information Act (Foia)
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1TOWN OF CICERO
ILLINOIS FREEDOM OF INFORMATION ACT (FOIA)
ALL REQUESTS MUST BE SUBMITTED DIRECTLY TO
THE TOWN OF CICERO LAW DEPARTMENT
DATE: ________________________
REQUESTOR’S INFORMATION (PLEASE PRINT CLEARLY)
______________________________________________________________________
Prf.
First
Last
______________________________________________________________________
Company/Entity
e-mail
______________________________________________________________________
Address Number
Street
City
State
ZIP
________________________________
________________________________
Phone Number
Fax Number
DESCRIPTION OF RECORDS REQUESTED: (please provide specific names/addresses/dates
and/or information to assist our search.)
___________________________________________________________________________________
___________________________________________________________________________________
______________________________________________________________________________
DEPARTMENT(S) WHICH MAY HAVE THE RECORDS SOUGHT:
__________________________________________________________________
_________________________________________________________________________________
DO YOU PLAN TO USE ANY PART OF THE REQUESTED RECORDS FOR A COMMERCIAL
PURPOSE, INCLUDING THE USE OF ANY PART OF THE RECORD(S) FOR SALE, RESALE,
SOLICITATION OR ADVERTISMENT? YES________NO__________
I understand that the Town of Cicero has five (5) business days after the date of receipt by the Town
of this request to respond, unless the request is for a commercial purpose, in which case I understand
that the Town has twenty-one (21) business days after the receipt by the Town of this request to respond.
Initial________
I understand that if the records responsive to this request exceed fifty (50) pages of black and white,
letter or legal size paper, the Town charges $.15 for every page in excess of the fiftieth page to reimburse
it for its reproduction costs, unless waiver is in the public interest, and that the requested records will not be
released until payment of any applicable reproduction charges has been made via cash or certified check
made to the Town of Cicero – FOIA.
Initial_________
I understand that it is a violation of the Freedom of Information Act to knowingly obtain a public
record for a commercial purpose without disclosing that it is for a commercial purpose, when requested
to do so by the public body.
Initial_________
Signature of Requester _______________________________________________
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