Downers Grove Foia Form – Fill Out and Use This PDF

Date/Time Received:

Response Due by:

Received by:

FOIA #

VILLAGE OF DOWNERS GROVE

NAME____________________________________________________________________DATE_____________________________

PHONE______________________FAX______________________E-MAIL_______________________________________________

ADDRESS_____________________________________________CITY_______________________STATE_______ZIP___________

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

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

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

_________________________________________________________________________________________________

Is request to be used for Commercial purposes?

_____Yes

_____No

Department, Board, or Commission from which records are sought:

_________________________________________________________________________________________________

How do you wish to view record(s)

____in person ____paper copy ____media ____certified

I hereby certify and affirm that the above information is true and correct and that I have read and understand the Village of Downers Grove policies and procedures governing disclosure of public information, including, but not limited to, my rights to appeal denials and time limits thereof.

__________________________________________

Signature of Requester

******************************************************************************************************************************************

Office Use Only

Referred to: _____________________________ Response due by: __________ Extension required? ____ Yes ____ No

(Department & Person)
Type of Extension: _________Statutory __________Mutual	Due date after extension: ___________________

Type of response: _____ Approval _____ Partial Approval _____ No Records _____ Denial _____ PAC approved denial

Notes:____________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Date of response: _______________ Date forwarded to Village Clerk to file:______________

FOIA 1-Request

Freedom of Information Request Procedures

Procedures

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.

Persons desiring to inspect or receive copies of Village records must submit a request in writing or may complete a REQUEST FOR PUBLIC RECORDS form (form FOIA-09.1-Request) as provided by the Village.

Forms will be available in the reception areas of the Village Hall, Public Works Department, Police Department, Fire Station No. 2, and on-line at www.downers.us. In addition, forms may be requested and submitted via

e-mail to foia@downers.us or by fax (630) 434-5571.

All requests for records must be received during normal business hours of the general administrative offices of the Village. (Monday through Friday between the hours of 8:00 am and 5:00 pm., excluding holidays) Requests submitted electronically after normal business hours will be considered received by the Village on the next business day.

Upon receipt of a General Request, the Village will respond within five working days of the date of request.

Fees:
Standard copies of records	no fee
Color copies of records	$.10 per page
Maps, photographs, CD’s, DVD’s, etc.	actual cost of reproduction

Appeals:

Appeals must be submitted to the Public Access Counselor:

Public Access Bureau

Office of the Attorney General

500 S. 2nd Street

Springfield, Illinois 62706

(217)558-0486

publicaccess@atg.state.il.us