Name of Company or Affiliation if Applicable

Your Primary Phone Number and Extension


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

Please indicate if you wish "on-site inspection" or copy the public records requested

Do you wish to have these copies certified?

(21-day response period) Is this Request for a "Commercial Purpose"? 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)

(If you are requesting that the public body waive any fees for copying the documents, you may be requested to send 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))