Request Form Page 1
City of Rockford, Rockford, IL Request for Public Records-Official Request Form
CITY OF ROCKFORD
REQUEST FOR PUBLIC RECORDS
OFFICIAL REQUEST FORM
INSTRUCTIONS AND INFORMATION
a. In Section 1, describe the public records that you wish to inspect or to have copied or certified.
Please be precise about what records you seek. You may use a separate sheet if necessary.
Indicate whether you request only to inspect the public records or whether you also request to
have the public records copied and certified by checking the appropriate spaces.
b. By submitting this Request Form, you are agreeing to pay to the City, in advance of receiving
copies of any public records, the copying fees set forth in Section 2.
The fees set forth in Section 2 may be waived or reduced by the Freedom of Information
Officer on determination and proof that the purpose of your request is primarily to benefit the
general public and that you will receive no significant personal or commercial benefit from
your request. If you wish to be considered for a fee waiver or reduction, you must complete the
statement set forth in Subsection 2.B.
c. In Section 3, indicate the purposes for which you are requesting the public records identified in
Section 1. You must provide the information in Section 3.
d. The City will not mail copies of public records except upon satisfactory proof that it would be
unduly burdensome for you to inspect, receive via e-mail, or pick up the copies and then only
upon advance payment of the actual cost of postage. You must complete the statement set forth
in Section 4.
e. You must provide the information requested in Section 5.
f. You must sign the statement set forth in Section 6.
The City will disclose the public records requested on this Request Form within 21 Business Days after the receipt of this Request
Form for all requests made for commercial purposes, and within five Business Days for all other requests, unless the applicable
response period is extended as provided by law or the request is denied. All extensions and denials will be in writing and will
state the reasons therefore. The Requestor may seek review of a denial by the Public Access Counselor of the Office of the
Illinois Attorney General. Judicial review is available under Section 11 of the Illinois Freedom of Information Act, 5 ILCS 140/1
et seq. For more detailed information, please consult the City of Rockford Policy for Implementation of the Illinois Freedom of
Information Act, which is available from the Freedom of Information Liaison Officer.