FOIA Request for Public Records

FOIA Request for Public Records

Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.
Name*

First NameLast Name
Firm/Organization/Company (if applicable)
Phone Number*

Area CodePhone Number
Fax Number

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select your preferred delivery method. The College is not required to provide records in a digital format or on digital media if the College does not already have the technological capability to do so.*

Pick Up In PersonMail To Address AboveEmail To Address Above
Describe the public record(s) you are requesting. Be sure to describe your request as specifically as possible. Use the file upload option below if needed.*
Upload additional information regarding your request if needed.

Browse Files
pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Are you representing a non-profit organization that advocates for developmentally disabled or mentally ill individuals that is formally designated by the State of Michigan? If so, a discount on FOIA-related fees may be available.*

Yes, I represent a non-profit organization that advocates for developmentally disabled or mentally ill individuals that is formally designated by the State of Michigan.No
I stipulate that I am a designated agent for the nonprofit organization making this FOIA request and that this request is made directly on behalf of the organization or its clients and is made for a reason wholly consistent with the mission and provisions of those laws under section 931 of the Mental Health Code, 1974 PA 258, MCL 330.1931.*

I consent to this stipulation.
Consent to Non-Statutory Extension of College’s Response Time I have requested a copy of records or a subscription to records or the opportunity to inspect records, pursuant to the Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq. I understand that the College must respond to this request within five (5) business days after receiving it, and that the response may include taking a 10-business-day extension. However, I hereby agree and stipulate to extend the College’s response time for this request within that timeframe.*

I consent
Signature*
Date*

MonthDayYear
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