Appendix C

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

FREEDOM OF INFORMATION ACT

Denial of Request for Public Records

 

 

TO:                              ___________________________________________________________________

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 denied:

 

_____ The request creates an undue burden on the public body in accordance with Section 3 (f) of the Freedom of Information Act, and we were unable to negotiate a more reasonable request.

 

_____ The materials requested are exempt under Section 7 of the Freedom of Information Act for the following reasons:

 

 

You have the right to appeal the denial of the records you have requested by submitting a written notice of appeal to:

 

The Public Access Counselor

Public Access Bureau

500 S. 2nd Street

Springfield, Illinois 62706

 

In submitting your notice of appeal, the request for review must be in writing, signed by the requester, and include a copy of the request for access to records and any responses from the public body.  Appeals should be made no later than 60 days after the date of the final denial.

 

_____________________________ _____________________________ _____________________

Signature                                     Title                                           Date

 

Appendix C may be downloaded as a PDF file from THIS LINK

Leave a Reply

Your email address will not be published. Required fields are marked *