Sterling Township
© Sterling Township 2015

FOIA Form

1. Identification of person requesting information:   Name: _______________________________________________________ b) Address: _____________________________________________________ c) Telephone: ____________________________________________________ 2. Additional information relating to organization. If this request is on behalf of a public body or a business, civic or other organization, please state the following: a) Name of Organization: ________________________________________________ b) Address of Organization: ______________________________________________ c) Office or title within organization of person requesting information: ____________ 3. Description of public records requested. Please describe the records requested with sufficient detail to allow Township office personnel to determine whether such public record exists and to locate it within a reasonable time: (If additional space is required, use the reverse side of this sheet). ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 4. Specify documents of which copies are requested: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 5. Will any part of the requested records be used in any form for sale, resale or solicitation or advertisement for sales or services? ____________________________________________________________________________ _____________________ Signature - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - For Township Use Only Date Received _______ Time Received _______ Date Response Due ______________ Notations regarding oral communications or other items _________________________ FOIA Form
STERLING TOWNSHIP, ILLINOIS REQUEST FOR INSPECTION OR COPYING OF PUBLIC RECORDS
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FOIA Form

© Sterling Township 2015
Sterling Township