BUREAU HENRY STARK REGIONAL OFFICE OF EDUCATION
107 SOUTH STATE STREET
ATKINSON, IL 61235
Phone 309-936-7890

FREEDOM OF INFORMATION ACT

Approval of Request for Public Records

 

FROM:                                     ____________________________________________________________________

NAME  (Print)

 

____________________________________________________________________

ADDRESS (Print)

 

____________________________________________________________________

CITY, STATE, ZIP (Print)

 

____________________________________________________________________

PHONE NUMBER

 

 

DESCRIPTION OF REQUESTED RECORD(S):

 

 

 

 

Your request dated __________________________ for the above captioned records has been approved.

 

____ The documents you requested are enclosed.

 

____ The documents will be made available upon payment of copying costs in the amount of $_________.

 

____ You may inspect the records at __________________________________________________

 

__________________________________ on ______________________

Date

 

 

_____________________________ _________________________ ________________________

Signature                                               Title                                         Date

Appendix B may be downloaded as a PDF file from THIS LINK.