Illinois > Statewide > Liquor Control Commission
Freedom Of Information Act Request - Illinois
| Freedom Of Information Act Request Form. This is a Illinois form and can be used in Liquor Control Commission Statewide . |
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State of Illinois Liquor Control Commission Governor Pat Quinn Acting Chairman Stephen Schnorf FREEDOM OF INFORMATION ACT REQUEST Contact: Illinois Department of Revenue FOIA Officer Tel: (217) 782-0985 Fax: (217) 524-3402 ___________________________________________ Requestor's Name, Firm or Other Affiliation ___________________________________________ Requestor's Street Address ___________________________________________ City, State, Zip Code ___________________________________________ Telephone (Including area code) ___________________________________________ Requestor's Email Address ___________________________________________ Requestor's Signature and Date of Request Business Organization or Status : ___ Private, For-Profit, Commercial ___ Private, Not-For-Profit ___ Media ___ Student, Researcher ___ Industry Association ___ Attorney, Litigants ___ Unit of Local, National Government ___ Other State Agencies (Below box for official use only) DESCRIPTION OF INFORMATION REQUESTED (If requesting license information, please indicate if you require a copy of the license, including the valid date required, or the license application): Copies ___ Inspect Documents ___ Special Request (Must use FOIA Page 2 Data Request Form) ___ REASON FOR REQUEST: Is this FOIA request for a commercial purpose? Yes _____ No ____ Please note that it is a violation of the Freedom of Information Act 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). APPROVED: DENIED: _____ _____ _____ _____ DEFERRED: Requested information is enclosed. Information will be produced upon receipt of payment of $_________. Information may be inspected at this office on _____________, 20__. Request creates an undue burden on a public body in accordance with §3(f) of the Illinois Freedom of Information Act, and this office was not able to negotiate a more reasonable request. _____ Information requested are exempt under §7___ of the Illinois Freedom of Information Act for the Following Reasons:_____________________________. _____ In accordance with §3(d) of the Illinois Freedom of Information Act, the request is delayed for the following reasons: __________________________________. You will be notified by __________, 20__, as to the action taken on the request. RIGHT OF APPEAL: You have a right to have the denial of your request reviewed by the Public Access Counselor (PAC) at the Office of the Attorney General. 5 ILCS 140.9.5(a). You can file your Request with the PAC by writing to: Public Access Counselor, Office of the Attorney General, 500 South 2nd Street, Springfield, Illinois 62706 (Fax: 217-782-1396' E-mail: publicaccess@atg.state.il.us). You also have the right to seek judicial review of your denial by filing a lawsuit in the State circuit court. 5 ILCS 140/11. __________________________________________ Sheila Washburn, Freedom of Information Officer _______________________________ Date of Reply Email request to: REV.FOIA@illinois.gov (Or mail to: Illinois Dept. of Revenue FOIA Officer, 101 W. Jefferson St, MC 6-595, Springfield, IL 62702) American LegalNet, Inc. www.FormsWorkFlow.com
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