Freedom of Information Act (FOIA) Appeal Form

FOIA Appeal Form - To Appeal a Denial of Records

Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.
Complete all of the required fields which are indicated with a red asterisk (*).

Your submission will be delivered directly to the Township Supervisor's office. You will also immediately be emailed a copy of your submission.
Name*
Phone*
Firm/Organization
Fax
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Request for:*

CopyCertified copyRecord inspectionSubscription to record issued on regular basis
Delivery Method:*

Will pick upWill make own copies onsiteMail to address aboveEmail to address aboveDeliver on digital media provided by the Township:
Deliver on digital media provided by the Township:*
Record(s) You Requested: (List here or upload a copy of original request. If you respond in this box, you will not be required to upload a copy of the original request.)

0/450
Upload Copy of Original Request

Cancelof
Reason(s) for Appeal
The appeal must identify the reason(s) for the denial:*

0/550
Requestor's Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

FOIA Appeal Form - To Appeal a Denial of Records