Village Of Brimfield Foia Requirements Procedures Freedom Of Information Request Template

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Village of Brimfield
FOIA Requirements/Procedures
Freedom of Information Request
Village of Brimfield under the Illinois Freedom of Information Act.
Date:______________________________
Name:__________________________________________________________________
Street address:___________________________________________________________
City/State/Zip Code:_____________________________ Phone:___________________
I hereby request to inspect the following records (list records sought. Please be specific)
________________________________________________________________________
________________________________________________________________________
The Village of Brimfield will respond to the above request within the appropriate time frame in which the Freedom of
Information Act allows.
Signature of person making request: ____________________________________________
For Official Use Only
The records requested have been reviewed and are appropriate for release under the guidelines of the Illinois Freedom
of Information Act, except for the following records:
_____________________________________________________________________________
_____________________________________________________________________________
Reasons access was denied to the above records (specify section of the Illinois FOIA which applies):
_____________________________________________________________________________
_____________________________________________________________________________
The records requested were presented for inspection to the applicant on:_________________
_______________________________________ Signature of employee presenting records for inspection
Of the records requested, copies were provided to the applicant on: ______________________
_______________________________________ Signature of employee presenting records for inspection
Fee collected: ___________________ See fee schedule for appropriate costs.

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