_________________ Requestor's Name | _________________ Date | |||||||||||||
_________________ Address | _________________ Telephone Number | |||||||||||||
_________________ City | _________________ Zip Code | |||||||||||||
Secretary of State Employee Name, Title & Department to Receive FOI Request: | ||||||||||||||
_________________ Department | _________________ Name | _________________ Title | ||||||||||||
RECORDS SOUGHT (Be Specific): | ||||||||||||||
_________________________________________________________ | ||||||||||||||
_________________________________________________________ | ||||||||||||||
_________________________________________________________ | ||||||||||||||
_________________________________________________________ | ||||||||||||||
_________________________________________________________ | ||||||||||||||
_________________ | ||||||||||||||
Requestor's Signature | ||||||||||||||
The department will respond to a request for public records within seven (7) working days after its receipt. If your request is denied, you may file an appeal. Appeals should be addressed to the Assistant Secretary of State, 208 Capitol, Springfield, Illinois 62756. |
Ill. Admin. Code tit. 2, pt. 551, subpt. B, app A