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Freedom of Information Act (FOIA) Request Form
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Freedom of Information Act (FOIA) Request Form
Request for Public Records
Name
(Required)
Company
(Required)
Address
(Required)
Street Address
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(Required)
Description of requested records
(Required)
Describe as specifically as possible the record(s) or document(s) sought. Include dates if possible.
Is request to be used for commercial purposes?
(Required)
Yes
No
Please indicate if you wish to inspect the above records or would like a copy of the records, or both.
(Required)
Inspection (free of charge)
Copy (*)
Both
*No fee will be charged for the first 50 pages of black and white, letter or legal sized copies. The fee for each page thereafter shall be $.15 per page. For color copies of letter or legal sized documents, and the costs for copies of maps, photographs, CD’s DVD’s, etc. will be the actual cost of reproduction. The cost for certifying a record shall be $1.00.
Note: Payment of copying costs (when applicable) must be received by the District before delivery of any copies.
I hereby certify and affirm that the above information is true and correct and that I have read and understand the Downers Grove Sanitary District procedures for submitting requests as set forth on the reverse side of this form, including but not limited to, my rights to appeal denials and time limits thereof.
Signature of requester
(Required)
Email
(Required)
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