Electronic FOIA Request Form

• Requestor Information
• Contact Information
• Info Function
• Info Function

Requestor Name

Business Name

Address

City

State

Zip

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Contact Information

Phone

Fax

Email

Preferred Contact Method

Email Fax Mail Phone

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Will any part of the requested information, records or documentation be used, in any form, for sale, resale, solicitation or advertisement for sales or services? *

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Fee Justification: In accordance with 5 ILCS 140/6(c), fees for public records may be reduced or waived if determined by the Agency to be in the public interest. If applicable, please provide a justification in the comments field below.

Information Requested

Questions or Comments

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