Fillable To Appeal A Denial Of Records Form FOIA Appeal Form Denial Of Records

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To Appeal A Denial Of Records Form FOIA Appeal Form Denial Of Records

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FREEDOM OF INFORMATION ACT REQUEST FOR PUBLIC RECORDS
APPEAL FORM – TO APPEAL A DENIAL OF RECORDS
MICHIGAN FREEDOM OF INFORMATION ACT, PUBLIC ACT 442 OF 1976, MCL 15.231, et. seq.
Copies of the City’s Freedom of Information Act Procedures and Guidelines and the Written Public Summary are
maintained on the City’s website at: www.ci.oak-park.mi.us, and at Oak Park City Hall, 14000 Oak Park Blvd., Oak
Park, MI, 48237. City Hall is open to the public Monday through Thursday from 8:00 A.M. to 5:00 P.M.
Mailing Address: City of Oak Park, Attn: FOIA Coordinator, 14000 Oak Park Blvd. Oak Park, MI 48237
Tel. No.: (248) 691-7544 FAX No.: (248) 691-7167 E-Mail Address: FOIACoordinator@ci.oak-park.mi.us
For records maintained by the Department of Public Safety (i.e. accident reports,
case/incident reports, etc.) the mailing address is 13800 Oak Park Blvd., Oak Park, MI 48237.
Tel. No.: (248) 691-752
6
FAX No.: (248) 691-7431 E-Mail Address: PSFOIA@ci.oak-park.mi.us
Request No.: _________________ Date Received: _________________ Submitted: ____ In-Person ____ By U.S. Mail ____ By Fax/Email
Date delivered to junk/spam folder: _____________ Date discovered in junk/spam folder: _____________
Requestor’s Name: _____________________________________________________________________________
(LAST) (FIRST) (MI)
Firm/Organization: _____________________________________________________________________________
Requestor’s Address: ___________________________________________________________________________
(STREET) (CITY & STATE) (ZIP CODE)
Requestor’s Telephone No.: __________________________ Email Address: _______________________________
Request for:
□ Copy □ Certified Copy □ Record Inspection
□ Non-Paper Physical Media (i.e. Computer Discs; Digital Drives, etc. Only if the City possesses the necessary
technological capability to provide the records in the requested format)
□ Subscription to Record Issued on a Regular Basis
Delivery Method:
□ Will Pick-Up □ Mail to Address Above □ Email to Address Above
DESCRIPTION OF PUBLIC RECORD(S) REQUESTED – List here or attach a copy of original request
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(OVER)
Reason(s) for Appeal
The appeal must identify the reason or reasons the Requestor is seeking a reversal of the denial. You may use this
form or attach additional sheets:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
_
Requestor’s Signature: ___________________________________________ Date: _______________________
City’s Response:
The City Council is not considered to have received a written appeal until the first regularly scheduled City Council
meeting following submission of the written appeal. The City Council meets the first and third Monday of each
month unless those dates fall on a legal holiday. The City must provide a response within 10 business days after the
first regularly scheduled City Council meeting following submission of the written appeal unless the City has issued
a notice extending for not more than 10 business days the period during which the City Council shall respond to the
written appeal.
□ City Extension: The City is extending the date to respond to your Freedom of Information Act Appeal of the
Denial of Records for no more than 10 business days, until ______________________________ (month, day, year).
Only one extension may be taken per Freedom of Information Act Appeal.
The unusual circumstances warranting the extension are:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Should you have any questions regarding this extension, please contact: ___________________________________
at (248) 691-______________.
City Determination:
□ Denial Reversed □ Denial Upheld □ Denial Reversed in Part and Upheld in Part
The following previously denied record(s) will be released:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Notice of the Requestor’s Right to Seek Judicial Review
Under Section 10 of the Michigan Freedom of Information Act, MCL 15.240 you are entitled to appeal this denial to
the City Council or to initiate an action in Oakland County Circuit Court to compel disclosure of the requested
records if you believe they were wrongfully withheld from disclosure. If, after judicial review, the court determines
that the City has not complied with MCL 15.235 in making its denial and orders disclosure of all or a portion of a
public record, you have the right to receive attorneys’ fees and damages as provided in MCL 15.240. (Please see the
attached document for additional information on your rights.)
___________________________________________ Date: ______________________________
Name: _____________________________________
Signature of FOIA Coordinator or Representative
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To Appeal A Denial Of Records Form FOIA Appeal Form Denial Of Records

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Completed 1 November 2019

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