SCO-315 2017
Requested By: Name
Company
Address
City State Zip
Phone Number, w/area code(_______________)__________________________________
Email Address
Description of Records Requested
Time Period of Records Requested
Make Records Available For Inspection Please Copy Records Requested
If Different Than Above Mail Records To:
Name
Address
City State Zip
Charges for Copies of Records
Paper – copies of letter or legal size from 1-50 are free, any request for more than 50 copies will
be billed at the rate of 15¢ per page. Electronic copies are at no charge, provided on a CD at cost.
Mail Request To:
Freedom of Information Officer
Office of the Comptroller
325 W. Adams St.
Springfield, IL 62704-1858
or Telephone 217-782-6000
or Fax 217-558-5123
Signature of Requestor
Date of Request:
Request For Records
click to sign
signature
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