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FOIA Form

The document is a Freedom of Information Act request form from DuPage County, Illinois. It requests public records from the county and asks the requestor to provide contact information, describe the requested records, the purpose of the request, and acknowledges FOIA requirements. The form notes the county has 5 business days to respond and may take 5 additional days to fulfill complex requests.

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Joshua Muench
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188 views1 page

FOIA Form

The document is a Freedom of Information Act request form from DuPage County, Illinois. It requests public records from the county and asks the requestor to provide contact information, describe the requested records, the purpose of the request, and acknowledges FOIA requirements. The form notes the county has 5 business days to respond and may take 5 additional days to fulfill complex requests.

Uploaded by

Joshua Muench
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DuPage County REQUEST FOR PUBLIC RECORDS Under the Illinois Freedom Of Information Act

Company Name (If Applicable) Or Organization (If Any) Requestor's Name Address (Street And Number) City State Zip Business Phone # Area Code ( ) Daytime Phone # Area Code ( ) Home Phone # Area Code ( E-mail Address
) ----

I wish to inspect these items. I would like copies of these items. I would like to both inspect these items and obtain copies of them. Pursuant to the Freedom of Information Act describe in detail the public record you're requesting (Attach additional sheets if necessary) For what purpose are you requesting the information (Attach additional sheets if necessary)

By checking this box it acts as my signature, I acknowledge that the Freedom of Information Act is not intended: To violate individual privacy; For the purpose of futhering a commercial enterprise; To disrupt the duly undertaken work of the public body. I understand the Department has five (5) business days to respond following the date the request is received. I also understand the Department may take five (5) additional business days, if necessary, to full my request. I further understand that if it is determined that some or all of the requested materials may not be disclosed, I will receive a written denial including the reason for denial and explaining my legal right to appeal. I also understand that I may be charged with costs associated with this request.

_________________
Date

PLEASE SUBMIT THIS COMPLETED REQUEST TO:

FOR OFFICE USE ONLY:

Director of Human Resources FOIA Request DuPage County 421 N. County Farm Road Wheaton, IL 60187 Telephone No: (630) 407-6300 Fax No: (630) 407-6301 To submit this form electronically you must save it to your computer then e-mail it to [email protected]

Date Request Received: _______________________________ Date Response Due: __________________________________ Request Fowarded to: ___________________ Date:_________ Copying Fee Received. Date: _______________________ Amount: $___________ Cash_____ Check #________

FOR OFFICE USE ONLY

Notes __________________________________________________________________________________________________
________________________________________________________________________________________________________

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