General Request for Public Records – City of Breese, Illinois

The Freedom of Information Act, 5 ILCS 140/3 et seq., is the principal Illinois statute governing the inspection of public records. The Act requires that public bodies make available for inspection or copying all public records to any person. Exceptions are provided to insure the confidentiality of certain types of sensitive public records.

Requestor Information

Name:

First Name

Last Name

Business Name:

Address:

City

State/Province

Zip/Postal

Primary Phone Number:

Secondary Phone Number:

Email:

Document Information

Is this request being used for a commercial purpose?

Yes

No

It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for commercial purpose without disclosing that it is for a commercial purpose, if requested to do so by the public body. (5ILCS 140.31(c))

Do copies need to be certified?

Yes

No

Do you wish to (check one):

Schedule a review of the document(s)

Pick up a hard copy of the document(s) at City Hall

Receive the document(s) via email

Please be aware that, due to file size, not all documents will be eligible for email delivery. If the City Collector/Clerk's Office is unable to provide documents electronically, the requestor will be contacted to discuss alternate arrangements.

Describe as specifically as possible the record(s) or document(s) sought:

Date(s) of record(s) or document(s):

Acknowledgement

I hereby certify and affirm that the above information is true and correct and that by checking this box constitutes a legal signature confirming my request for public records.

Electronic Signature:

First Name

Last Name

Date

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