Application for Public Access to Records (FOIA)

2. I hereby apply to: *
   -- Select One --Inspect the following recordsRequest a copy of the following records
4. The following records should include:*
6. Please Note:

   Official, historic, or single-copy records may not be removed or taken from the premises of the Village.  Copies will be made at the rate of twenty-five cents ($.25) per photocopy, or the actual cost of reproduction, and must be paid before records are released.  A reply will be made to you within five (5) business days about the status of your request.  Records that exist will be provided within twenty (20) business days of the date of a request unless more time is required to locate and /or compile such records.  Requesters will be directed to the appropriate entity for records produced or owned by another individual, firm, agency, corporation, or that are copyrighted.

8. Name*
10. Representing*
11. Date
    Date
13. Mailing Address*
15. City*
16. State*
17. Zip Code*
19. Phone*
20. Email*
22. Notice

    You have a right to appeal a denial of this application to: 

    
    

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field