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)
( ) 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)
( ) 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 $__________
V ( ) For "commercial requests" only: the estimated time of when the documents
E will be available is ____________, at the prepaid costs stated above.
( ) The request creates an undue burden on the public body in
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:
E Individual(s) that determined request to be denied and title: _______________
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
Failure to use it may result in the request not being properly or promptly processed.
Date of Reply