City Of Quincy - Freedom Of Information Request Form

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City of Quincy Freedom of Information Request Form
City of Quincy
Name:
730 Maine Street
Address:
Quincy, IL 62301
City, State, Zip:
Attn: FOIA Officer
Phone:
Phone: 217-228-4500
Email address:
Fax: 217-228-4546
Person you are representing:
foia@quincyil.gov
Commercial purpose:
Yes _____
No _____
Persons, permits, projects or properties involved in your request:
If FOIA is for the Quincy Police Department, please complete this section:
Person(s) involved in case:
Date(s) of birth:
Type of offense:
Case file #:
Date and location of offense:
:
This part is optional, but will assist us in providing information
Description and reason for request for records (please be specific):
Please choose one:
Inspect records _____
Copy records _____
Requestor’s Signature: ____________________________________
Date: ________________
For office use only:
Name/Title of person
receiving request:
Date:
Due date:
Request #:
Pending case: Yes ____
No ____
Approved ____
Denied ____
Interfere with prosecution: Yes ____ No ____
Signature of Reviewer:
Date:
Notes/comments:
If an FOI request is denied, the requestor has a right to appeal the denial to the Public Access Counselor (PAC) at the
Attorney General’s Office. Public Access Counselor, Office of the Attorney General, 500 S. 2nd Street, Springfield, Illinois
62706, 877-299-3642, publicaccess@atg.state.il.us. The requestor also has the right to judicial review.

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