Foia Request Form - City Of Linden printable pdf download

Foia Request Form - City Of Linden

Request Form

FOIA Request for Public Records

Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, .

Check if received via: 

Email  Fax



Request No.: __________

Date Received: ___________

Other Electronic Method

Date delivered to junk/spam folder: _______________

Date discovered in junk/spam folder: _______________

(Please Print or Type)

Name

Phone

Firm/Organization

Fax

Street

City

State

Zip



 Certified copy



 Subscription to

Request for:

Copy

Record inspection

record issued on regular basis

 Will pick up

 Will make own copies onsite

 Mail to address above

Delivery Method:



Email to address above



Deliver on digital media provided by the city:

________________________________________________________________

Note: The city is not required to provide records in a digital format or on digital media if the city does not

already have the technological capability to do so.

Describe the public record(s) as specifically as possible. You may use this form or attach additional

sheets:

Foia Request Form - City Of Linden