Foia Request Form For Public Records - Washington Township Page 2
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2Records Located on Website
If the Township directly or indirectly administers or maintains an official internet presence, any public records available to the general public on that
internet site at the time the request is made are exempt from any labor charges to redact (separate exempt information from non-exempt
information).
If the FOIA coordinator knows or has reason to know that all or a portion of the requested information is available on its website, the Township must
notify the requestor in its written response that all or a portion of the requested information is available on its website. The written response, to the
degree practicable in the specific instance, must include a specific webpage address where the requested information is available. On the detailed
cost itemization form, the Township must separate the requested public records that are available on its website from those that are not available on
the website and must inform the requestor of the additional charge to receive copies of the public records that are available on its website.
If the Township has included the website address for a record in its written response to the requestor and the requestor thereafter stipulates that the
public record be provided to him or her in a paper format or other form, including digital media, the Township must provide the public records in the
specified format (if the Township has the technological capability) but may use a fringe benefit multiplier greater than the 50%, not to exceed the
actual costs of providing the information in the specified format.
Request for Copies/Duplication of Records on Township Website
I hereby stipulate that, even if some or all of the records are located on a Township website, I am requesting that the Township make copies of those
records on the website and deliver them to me in the format I have requested above. I understand that some FOIA fees may apply.
Requestor’s Signature
Date
Overtime Labor Costs
Overtime wages shall not be included in the calculation of labor costs unless overtime is specifically stipulated by the requestor and clearly noted on
the detailed cost itemization form.
Consent to Overtime Labor Costs
I hereby agree and stipulate to the Township using overtime wages in calculating the following labor costs as itemized in the following categories:
1.
Labor to copy/duplicate
2.
Labor to locate
3a.
Labor to redact
3b.
Contract labor to redact
6b.
Labor to copy/duplicate records already on Township’s website
Requestor’s Signature
Date
Request for Discount: Indigence
A public record search must be made and a copy of a public record must be furnished without charge for the first $20.00 of the fee for each
request by an individual who is entitled to information under this act and who:
1) Submits an affidavit stating that the individual is indigent and receiving specific public assistance, OR
2) If not receiving public assistance, stating facts showing inability to pay the cost because of indigence.
If a requestor is ineligible for the discount, the public body shall inform the requestor specifically of the reason for ineligibility in the public body's
written response. An individual is ineligible for this fee reduction if ANY of the following apply:
(i) The individual has previously received discounted copies of public records from the same public body twice during that calendar year,
(ii) The individual requests the information in conjunction with outside parties who are offering or providing payment or other remuneration
to the individual to make the request. A public body may require a statement by the requestor in the affidavit that the request is not being
made in conjunction with outside parties in exchange for payment or other remuneration.
Office Use:
Affidavit Received
Eligible for Discount
Ineligible for Discount
I am submitting an affidavit and requesting that I receive the discount for indigence for this FOIA request:
Date:
Requestor’s Signature:
Request for Discount: Nonprofit Organization
A public record search must be made and a copy of a public record must be furnished without charge for the first $20.00 of the fee for each
request by a nonprofit organization formally designated by the state to carry out activities under subtitle C of the Developmental Disabilities
Assistance and Bill of Rights Act of 2000 and the Protection and Advocacy for Individuals with Mental Illness Act, if the request meets ALL of the
following requirements:
(i) Is made directly on behalf of the organization or its clients.
(ii) Is made for a reason wholly consistent with the mission and provisions of those laws under section 931 of the Mental Health Code,
1974 PA 258, MCL 330.1931.
(iii) Is accompanied by documentation of its designation by the state, if requested by the Township.
Office Use:
Documentation of State Designation Received
Eligible for Discount
Ineligible for Discount
I stipulate that I am a designated agent for the nonprofit organization making this FOIA request and that this request is made
Date:
directly on behalf of the organization or its clients and is made for a reason wholly consistent with the mission and provisions of
those laws under section 931 of the Mental Health Code, 1974 PA 258, MCL 330.1931:
Requestor’s Signature:
(Created by Michigan Townships Association, April 2015)
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