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FOIA Request Form

Please use this form to submit your FOIA request for information from the Illinois EPA. All fields that are asterisk-indicated (**) are required.

Requester Information

** First Name
** Last Name
Organization/Company  
** Organization Type
** Street Address
Address (cont.)  
** City/Township
County  
 State ** Zip
** Day Time Phone () - (Please include area code)
FAX () -
E-mail  
Fee Justification:
In accordance with 2 Ill. Admin. Code 1828.603, fees for public records may be reduced or waived if determined by the Agency to be in the public interest. If applicable, please provide a justification below.
 

Provided by Illinois Environmental Protection Agency pursuant to the Freedom of Information Act (FOIA)
 Copyright 2005 [Illinois Environmental Protection Agency]. All rights reserved.