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2. From:
4. Name
6. Address
7. City/State/Zip Code
9. Phone Number
10. Fax Number
12. Email Address
14. To:

    Freedom of Information Office

    8999 W. 123rd Street, Palos Park, IL 60464

    Phone: 708-671-3706 - Fax: 708-448-9542

    Email: foia@palospark.org

    
    

16. Description of Requested Public Records
18. Please indicate if you wish to inspect the above captioned records or wish to receive copies of them.

    1. Inspection
    2. Copy
20. Do you wish to have the copies certified?

    1. Yes
    2. No
22. Charges
    Certifying a document - $1
    Copying from a machine - $0.15 per page after the first 50 pages for black and white, letter or legal
    Oversized copies - Actual cost
    Color copies - Actual cost
24. Is this request for a commercial purpose?

    1. Yes
    2. No
26. It is a violation of the Freedom of Information Act to knowingly obtain a public record for a commercial purpose without disclosing that it is for a commercial purpose, if requested by the public body. 5ILCS 140.3.1(c).
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field