Freedom of Information Act Request Form

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Name of Requester:

Address:

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Records Requested:

Do you want to receive copies of the documents?

Yes

Do you want to review the documents in The Urbana Free Library’s Administrative Office?

Yes

If you want to receive copies of the documents, do you want

Paper copies

Electronic copies

The Urbana Free Library’s FOIA Officers will provide documents in the electronic format requested, if feasible. If you want electronic copies, please indicate the format in which you would like to receive them:

Is this request for a commercial purpose?

Yes

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 it is requested to do so by the public body. 5ILCS 140.3.1(c).

Are you requesting a fee waiver?

Yes

If yes, please read instructions below the box and add your statement of purpose:

If you are requesting a waiver of any fees for copying the documents, you must include a statement of the purpose of the request and whether the principal purpose of the request is to access or disseminate information regarding the health, safety and welfare or legal rights of the general public. 5 ILCS 140/6(c).

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