Freedom of Information Act Request

Note to Requester: This form is designed to provide you with helpful guidance on how to submit a FOIA request to the New Lenox School District 122. You do not need to use this form. You may submit a FOIA request in any written format that you choose. You should retain a copy of your FOIA request for your files.

Request Submitted to:
FOIA Officer – Carolyn Zimba
New Lenox School District 122
Haven Administrative Center
102 South Cedar Road
New Lenox, IL 60451
(815) 485-2169
(815) 485-2236 (fax)
czimba@nlsd122.org

Date Requested: *

Request Submitted By: *
E-mail
U.S. Mail
Fax
In Person
Name of Requester: *
Street Address: *
City/State/ZIP: *
Telephone:
E-mail:
Fax:


Provide as much specific detail as possible to help identify the information that you are seeking.


Records Requested: *

Do you want to receive copies of the documents? *
Yes
No

Do you want paper copies or electronic copies?
Paper
Electronic
If you want electronic copies, please indicate the format in which you would like to receive them:


New Lenox School District 122 will provide documents in the electronic format requested, if feasible.


Is this request for a commercial purpose? *
Yes
No


It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a commercial purpose without disclosing that it is for a commercial purpose, if it is requested to do so by the public body. 5 ILCS 140.3.1(c).

Are you requesting a fee waiver? *
Yes
No


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