2. Freedom of Information Request for Public Records

4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Description of Records Requested:
17. Are you asking for these records for commercial use/purposes?

    1. Yes

    1. No

19. (5 ILCS 140/3.1) (c) It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a commercial purpose without disclosing that it is for a commercial purpose if requested to do so by the public body.

21. Please indicate the format in which you would like the City to respond to your request, if applicable:

    1. Inspection Only
    2. Hard Copy

    1. Email
    2. Other
23. Email:
24. Other:
26. Do you wish to have copies certified:

    1. Yes

    1. No
28. Do you request a reduction or waiver of fees:

    1. Yes

    1. No

32. Fee Schedule for Duplication of Public Records

34. 	Associated Charges
    Certification of Documents	$1.00/certification
    Black & White Copies
    Size: 8.5 x 11 and/or legal
    First 50 Pages	No Charge
    Each Additional Page	$.15/page
    Size: 11" x 17"	$.15/page
    Drafting	$2.00/page
    Color Copies	$.20/page
    Accident Reports	$5.00
    Photographs
    Digital Copies on CD	$1.00
    Prints	At cost for reproduction
    Digital Storage Devices	At cost for purchase

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field