VILLAGE OF PARK FOREST
FREEDOM OF INFORMATION REQUEST
(Complying with Public Act 96-542, effective January 1, 2010)
Date Requested:
Requestor Name:
Address:
Home Phone: Cell Phone:
E-Mail Address: Fax Number:
METHOD REQUEST WAS SUBMITTED: In Person U.S. Mail E-Mail Fax
Records Request (Please Provide as many specific details as possible for our department to identify the information you are
seeking, include all pertinent information such as Address, Time Frame, and Name)
Is this request being made for commercial purposes?
YES NO
It is a violation FOIA for a person to knowingly obtain a public record for commercial purpose without disclosing that its for commercial purposes. 5ILCS 40.31(c)
Number of Copies Requested: Signature:
Standard black and white copies will be provided at no charge for the first fifty (50) pages. Requestors will be charged .15¢ per pages beyond fifty.
PLEASE RETURN YOUR REQUEST IN PERSON, VIA U.S. MAIL, FAX, OR BY E-MAILTO:
VILLAGE OF PARK FOREST
ATTN: FOIA OFFICER
350 VICTORY DRIVE
PARK FOREST, IL 60466
E-MAIL:
athurston@v
opf.com
Fo
r further inquiries, please call (708) 283-5608 or fax (708) 503-8560
PREFERRED RESPONSE: In Person U.S. Mail E-Mail Fax
FOR OFFICE USE ONLY:
Date Received: Requestor Contacted? YES, Date:
Extension:
Due Date: Date Completed:
Delivered Via: In Person U.S. Mail E-Mail Fax
Date Sent To Requestor: Verified By:
FIRST
MIDDLE LAST
NUMBER STREET APT NUMBER CITY STATE ZIP CODE
Revised10/2014
