Freedom Of Information Act (Foia) Request Form - East Dundee, Il printable pdf download

Freedom Of Information Act (Foia) Request Form - East Dundee, Il

Stamp Date Received

Submit Original to:

__ Asst. to the Administrator

Submit Copy to:

__ Police Clerk if POLICE FOIA

__ Building Dept if BUILDING FOIA

120 Barrington Ave- East Dundee, IL 60118

Phone: 847-426-2822 Fax 847-426-2956

FREEDOM OF INFORMATION ACT (FOIA)

REQUEST FORM

Name:

Phone #:

Date:

Address:

City:

State:

Zip:

Email:

Records Requested.

*Provide as much specific detail as possible so the public body can identify the information that you are seeking. You

may attach additional pages, if necessary.

_________________________________________________________________________________

Requestor’s Signature: _______________________________

Request Submitted by: ___Email

___Fax

___US Mail

___ In Person

Is this request for a Commercial Purpose? YES or NO

(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)).

Are you requesting a fee waiver? YES or NO

(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)).

Fees:

Black and White, Letter, or Legal Sized Copies: First 50 pages are free

Additional pages over 50 pages may not exceed 15 cents per page

For Color or abnormal sized copies: Actual cost for copying

Electronic Copies: Actual cost of the tape, CD, DVD, etc.

Denial of a FOIA request: A letter stating why the requested record was denied will be

given along with the procedures for appealing the denial.

Freedom Of Information Act (Foia) Request Form - East Dundee, Il