FOIA Request Form Web Portal

* Indicates required field

Requestor Name *

First

Last

Person/Entity Requestor represents *

Mailing Address *

Telephone Number(s) *

Email *

Fax Number *

Preferred Method of Contact *

Email U.S. Mail Fax

Records Request: Please provide as many specific details as possible to enable identification of all records being requested, including case numbers. Additional pages may be used.

Please indicate your request below *

Are you requesting *

Electronic Copies Paper Copies

Is this request for a commercial purpose? *

Yes No

(ILCS140.3.1(c) "It s a violation of this Act for a person to knowingly obtain a public record for a commercial purpose without disclosing it is for a commercial purpose, if requested to do so by the public body."

Are you requesting a fee waiver? *

Yes No

(Requestor must state the specific purpose for the request and indicate that a waiver or reduction of the fee is in the public interest because the principal purpose of the request is to access and disseminate information regarding the health, safety and welfare or the legal rights of the general public and is not for the principal purpose of personal or commercial benefit. 5ILCS 140/6)

Is this request for the purpose of academic, scientific or public research or education, or other public interest? *

Yes No

If Yes, please state the purpose *