Genesee County Freedom Of Information Act Request Form printable pdf download

Genesee County Freedom Of Information Act Request Form

GENESEE COUNTY

FREEDOM OF INFORMATION ACT REQUEST FORM

Pursuant to the Michigan Freedom of Information Act (P.A. 442 of 1976, as amended), I

request:

_____ Copies of the records described below

_____ To be permitted to review copies of the records described below

Public Records Requested:

I understand that if I would like the records described above provided on non-paper physical

media (computer disc, computer tapes, or other digital or similar media) or electronically mailed

to me in lieu of paper copies, I must so indicate. I also understand that the records will be provided

to me on non-paper physical media as long as that the County has the technological capability

necessary to provide the records on the particular non-paper physical media.

I understand that in requesting copies of these records, I am responsible for all reasonable costs

associated with the document search, examination, review, redaction and copying fees, not to

exceed limits set forth in MCL 15.234, or as otherwise provided by statute, and will remit to

Genesee County all such costs on or before the date of delivery. Payment of this fee becomes an

obligation and is guaranteed by me to Genesee County as of the date of filing this request

regardless of whether I ever pick up the records ordered in this request, or the material exceeds

my anticipated volume. I further agree to remit a deposit in the amount of one-half the estimated

fee at the time of making this request if the estimated fee exceeds $50.00.

I understand that certain records that I have requested may not exist or be located under the

name or description which I have provided, or may be exempt from release pursuant to the

provisions of the Act and that I will be so advised by Genesee County should that be the case. I

further understand that portions of the records I have requested may contain information or other

material which is exempt from release and may therefore be redacted.

FOIA REQUEST FORM

[1]

June 2015

Genesee County Freedom Of Information Act Request Form