2. Please complete all information. Once submitted, your FOIA request will be processed. By law, the City has up to five business days to respond to your request. The first day begins the day after you submit your request. Requests submitted after hours are recorded as submitted the following business day.
4. First Name*
5. Last Name*
6. Company Name (if applicable)
8. Address1*
10. City*
11. State*
12. Zip*
14. Phone Number:*
15. Email Address:
    Please provide an email address if you would like to receive your FOIA response via email.
17. What information are you requesting?*
    Please be as specific as possible with describing the records you are requesting.
19. Is this request for commercial purposes?

    1. YES
    2. NO

    According to the Illinois FOIA Law "Commercial Purpose" means the use of any part of a public record or records, or information derived from public records, in any form for sale, resale, or solicitation or advertisement for sales or services. It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a commercial purpose without disclosing that it is for a commercial purpose, if requested to do so by the public body. 5 ILCS 140/3.1 (c)
21. I understand that no charges are imposed for the first 50 pages of black and white, letter or legal sized copies. Any additional pages are 15 cents per side. A fee will be charged for color copies, abnormal size copies, and electronic copies (CD, DVD, or flash drive).
23. If you have any questions, please call the City Clerk, at 309-732-2010, Monday through Friday, 8:00 a.m. to 5:00 p.m. Office of the City Clerk, 1528 Third Avenue, Rock Island IL 61201
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34. 1. Receive an email copy of this form.
35. Email address

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