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Cook County

This document is a Freedom of Information Act request form for the Cook County Sheriff's Office. It requests the requester's contact information, details of the requested records, whether the request is for commercial purposes, and specifies how to submit the completed form to the FOIA officer for processing and the preferred response method. The form also has a section for office use only to track the request.

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Chris Lisette
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42 views

Cook County

This document is a Freedom of Information Act request form for the Cook County Sheriff's Office. It requests the requester's contact information, details of the requested records, whether the request is for commercial purposes, and specifies how to submit the completed form to the FOIA officer for processing and the preferred response method. The form also has a section for office use only to track the request.

Uploaded by

Chris Lisette
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COOK COUNTY SHERIFFS OFFICE

FREEDOM OF INFORMATION ACT REQUEST


DATE REQUESTED: ________________________________ REQUESTOR NAME: __________________________________________________________________________
FIRST MIDDLE LAST

ADDRESS:

_________________________________________________________________________________
NUMBER STREET APT. NUMBER CITY STATE ZIP CODE

DAY PHONE NUMBER: _________________________ FAX NUMBER: _______________________________

CELL PHONE NUMBER: _________________________ E-MAIL ADDRESS: _____________________________

REQUEST SUBMITTED BY:

IN PERSON

U.S. MAIL

E-MAIL

FAX

RECORDS SOUGHT (please provide as much specific detail as possible so the public body can identify the information that you are seeking. You may attach additional pages, if necessary):

IS THIS REQUEST BEING MADE FOR A COMMERCIAL PURPOSE:

YES

NO

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).

PLEASE RETURN YOUR REQUEST IN PERSON, VIA U.S. MAIL, E-MAIL OR FAX TO: COOK COUNTY SHERIFFS OFFICE ATTN: FOIA OFFICER/LIZ ABRAHAM RICHARD J. DALEY CENTER 50 W. WASHINGTON, ROOM 704 CHICAGO, ILLINOIS 60602
E-Mail: [email protected]; Fax: (312) 603-4420
For further inquiries, please call (312) 603-3396.
PREFERRED RESPONSE: :

IN PERSON

U.S. MAIL

E-MAIL

FAX

FOR OFFICE USE ONLY: Date Received: ____________________ Due Date: ______________________ Date Sent to Requestor: ____________________ Requestor Contacted? YES NO

Method Sent/Received: U.S. MAIL E-MAIL IN PERSON FAX Verified by: __________
(Initials)

(Rev/10/18/11)

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