Franklin Grove Public Library
Freedom of Information Request
Requestor's Name (or business name, if applicable) Date of Request Phone Number
Street Address (include City, State and Zip)
Certification requested:
( ) Yes
( ) No
Description of Records Requested:
Is the reason for this request a "commercial purpose" as defined in the Act? ( ) Yes ( ) No
Library Response (Requestor does no fill in below this line)
A
( ) The documents requested are enclosed.
P
( ) You may inspect the records at
___________________________________
P
on the date of _______________________.
R
( ) The documents will be made available upon payment of
copying costs of $__________
O
V
( ) For "commercial requests" only: the estimated time
of when the documents
E
will be available is ____________, at the prepaid costs stated above.
D
( ) The request creates an undue burden on the public body in
accordance with
Section 3(g) of the Freedom of Information Act, and we are unable to negotiate a
more reasonable request.
D
( ) The materials requested are exempt under Section 7 _______
of the
E
Freedom of Information Act for the following reasons:
N
___________________________________________________________
I
___________________________________________________________
E
Individual(s) that determined request to be denied and title: _______________
D
____________________________________________________________
In the event of a denial you have the right to seek review by the Public Access
Counselor at (217)558-0486 or 500 S. Second St., Springfield, IL 62705
Or you have the right to a judicial review under Section 11 of FOIA.
( ) Request delayed, for the following reasons (in accordance
with 3(c) of the
FOIA): _________________. You will be notified by the date of __________
as to the action taken on your request.
NOTE: This form cannot be MANDATORY under FOIA, but it is
preferred.
Failure to use it may result in the request not being properly or promptly
processed.
FOIA Officer
Date of Reply