Michigan Freedom Of Information Act Request Form

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KENT COUNTY SHERIFF DEPARTMENT
Lawrence A. Stelma – Sheriff
701 Ball Avenue, N.E. • Grand Rapids • Michigan • 49503
Michigan Freedom of Information Act Request Form
You may submit requests for copies of non-exempt public information under the Michigan Freedom of
Information Act (FOIA) to the Kent County Sheriff Department, FOIA Coordinator, 701 Ball Avenue NE,
Grand Rapids, MI 49503, Phone (616) 632-6200, Fax (616) 632-6217.
FOIA provides the public body with five (5) business days to respond to the request with a provision of an
additional ten (10) days extension, if necessary.
You may be required to reimburse the expenses associated with fulfilling your FOIA request. Labor,
photocopying, postage and other charges related to the shipment of the documents will be assessed on
actual cost basis.
Please print:
Name: __________________________________________________________________
Address: ________________________________________________________________
Firm / Organization: _______________________________________________________
Telephone No: _________________________Email:_____________________________
Complaint Number(s) : ____________________________________________________
Please describe the public record as sufficiently as possible, specifying subject matter,
date, and reason for the request.
____________________________
_____________________
Signature
Date

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