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Request for Public Records Form

2. First Name*
3. Last Name*
5. Company/Organization
7. Address 1*
9. Address 2
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Is this a commercial request?*

    (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. 5ILCS 140.3.1 (c)).

    1. Yes

    1. No
20. Please select which City Department or Division you are requesting records from:*

    1. Police Department
    2. Building and Code Enforcement Division
    3. Public Works Department
    4. Planning and Zoning Division

    1. Community Development Department
    2. Administration Department (Historical Council Records)
    3. Finance Department (Utility Billing & Licensing)
    4. Human Resources
22. Police Record Types*

    1. Accident Report
    2. Crime Data
    3. Moving Violation
    4. Parking Ticket
24. List Specific Documents Being Requested*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible. If available, include date range, topic, name of documents, etc.
26. Fee Waiver Request

    There is no fee if your request can be completed via email. However, if your request needs to be printed and/or mailed, a fee may apply. Please review the Schedule of Fees below and if you are requesting that the City of Warrenville waive any fees for copying of documents, you must state the purpose of the request and whether the principal purpose of the request is to access or disseminate information regarding the health, safety and welfare, or legal rights of the general public. 5 ILCS 140/6(c)).

    1. Yes, I am requesting fees to be waived
28. Schedule of Fees
    Schedule of Fees
29. List Purpose of Fee Waiver Request
31. Signature of person making the request
    The City of Warrenville has five (5) working days* to respond to your FOIA request. *Subject to a time extension per 5 ILCS 140/3(d), If a commercial request is made, the City has 21 working days in which to respond per 5 ILCS 140/3.1. If a recurrent requestor, Subject to provisions detailed per 5 ILCS 140/3.2(a-c)
33. Do you agree?*

    By clicking "I agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field