Wheaton Park District Illinois Freedom Of Information Act (Foia) Request Form printable pdf download

Wheaton Park District

Administrative Office

102 E. Wesley St.

Illinois Freedom of Information Act (FOIA)

Wheaton, IL 60187

Request Form

Phone: 630-665-4710

Fax: 630-665-5880

Michael Benard, Chief FOIA Officer

1. Complete the following fields. Please print.

Full Name: _____________________________________ Today’s Date: _____/_____/_____

Address: ___________________________________________________________________

Street

City

State

Zip

Phone: ___________________________

Email: __________________________________

2. Pursuant to 5 ILCS 140/1 et seq., “Freedom of Information Act,” I request the following public

record(s) from the Wheaton Park District:

___________________________________________________________________________

3. Would you prefer to

Inspect the documents at the Administrative Office

(check one)

Receive copies of the documents

Note: There is no charge for the first 50 pages of black and white letter or legal sized copies. There is a $0.15 charge for each additional

page. There is no charge to inspect records only.

4. How would you prefer to receive the requested documents?

(circle one)

Mail

Fax

Pick-up

Inspect

(at the Administrative Office)

5. The purpose of this request is for

Personal Use

Commercial Use

(check one):

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 requested to do so by the public body. 5 ILCS

140.3.1(c)). If you are requesting that the public body waive 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)).

Important:

• The Wheaton Park District has five (5) business days to respond to non‐commercial requests, unless cause for a

time extension is cited by the Park District pursuant to 5 ILCS 140/3(d).

• Please retain a copy of this request for your files, if you need to file a review, you will need to submit a copy of your

request.

Requestor’s Signature:____________________________________________________________

For Office Use Only

Receiving FOIA Agent: _________________________________________________________

Request received: ________________________________

(date/time)

Response period expires: _______________________________

(date/time)

Notes: ______________________________________________________________________

Wheaton Park District Illinois Freedom Of Information Act (Foia) Request Form

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