CITY OF BELVIDERE
401 Whitney Blvd., Belvidere, IL 61008 - (815)544-2612
Written Request for Inspection or Copying of Public Records
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Date of Request:
*
Is request for commercial purposes? (It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for commercial purposes without disclosing that it is for a commercial purpose.)
Yes
No
Are you requesting a fee waiver? (There is no charge for the first 50 pages, black and white, letter or legal size. Additional pages billed at $0.15 per page.)
Yes
No
If requesting a fee waiver, please state reason:
Describe in detail below the public records you are requesting and state whether you wish to inspect and/or copy such records. Also, please state whether such public records are to be certified. If you wish to receive the records in a specific electronic format, please describe.
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The City of Belvidere will respond to the Freedom within five (5) working days from the requested date unless one or more of the seven (7) reasons for an extension of time provided for in Section 3(e) of the Act are invoked by the City.
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