FREEDOM OF INFORMATION ACT REQUEST FORM

Name, Address, Phone/Fax Numbers of Public Body receiving FOIA request:

Township High School District 211
847-755-6600 (main)
1750 S Roselle Rd, Palatine, IL 60067
847-755-6810 (fax)
ATTN: Lauren C. Hummel, Chief Operating Officer and Designated FOIA Officer

Date Requested *

Name of Requester *

Company Name

Street Address *

City/State/Zip Code *

Phone

Fax

Email *

RECORDS REQUESTED

Provide as much specific detail as possible so the public body can identify the information that you are seeking.

Records Requested

Do you want copies of the documents?

Yes

Do you want Electronic or Paper copies?

Paper

Electronic

Is this request for a Commercial Purpose?

Yes

Are you requesting a fee waiver?

Yes

***** NOTE TO REQUESTER: Retain a copy of this request for your files. ***** If you eventually need to file a Request for Review with the Public Access Counselor, you will need to submit a copy of your FOIA request.