General Foia Request Form - City Of Springfield printable pdf download

General Foia Request Form - City Of Springfield

General FOIA Request Form

Send to: 601 Avenue A

Springfield, MI 49037

Date Requested:_______________________________________________________________________

Name of Requestor:_____________________________________________________________________

Requestor’s Address:____________________________________________________________________

City/State/ZIP:__________________________________________________________________

Telephone Number:_____________________________ Fax Number:____________________________

E-Mail Address:________________________________________________________________________

Please describe in detail the public records you are requesting

_____________________________________________________________________________________

Signature of Requestor:_____________________________________________

The City of Springfield will respond to this request within five (5) working days from the date the request

was received. The City may notify you that it will take an additional ten (10) days to respond.

_____________________________________________________________________________________

OFFICE USE ONLY

Date request was received:______________________

Request: Denied – Granted – Granted in Part

Date request was responded to:_______________________ Response method: Email – Mail

General Foia Request Form - City Of Springfield