Form Center

City of East Peoria Public Record Request

2. Name*

   Name of Person Making Request

6. Street Address*

   Address of Person Making Request

8. Address Line 2

10. City*

11. State / Province / Region*

13. Postal / Zip Code*

14. Country*

16. Telephone Number*

    Telephone Number of Person Making Request

17. Email Address

19. Date of Request*
    Date of Request

23. Is this request for commercial purposes?*

    1. Yes
    2. No

25. Definition of Commercial Purpose
    Commercial Purpose means the use of any part of a public record or records, or information derived from public records, in any form for sale, resale, or solicitation or advancement for sale or services.<br><br>For purposes of definition, requests made by news media and non-profit, scientific, or academic organizations shall not be considered to be made for the commercial purpose when the principal purpose of the request is:<br><br>(i) to access and disseminate information concerning news and current or passing events; (ii) for articles of opinion or features of interest to the public, (iii) for the purpose of academic, scientific, or public research or education.)

    Commercial Purpose means the use of any part of a public record or records, or information derived from public records, in any form for sale, resale, or solicitation or advancement for sale or services.
    
    For purposes of definition, requests made by news media and non-profit, scientific, or academic organizations shall not be considered to be made for the commercial purpose when the principal purpose of the request is:
    
    (i) to access and disseminate information concerning news and current or passing events; (ii) for articles of opinion or features of interest to the public, (iii) for the purpose of academic, scientific, or public research or education.)

29. Detail of Requested Records*

    Describe in Detail the Public Records You Are Requesting

31. Period for Which Records Are Sought*
    Period for Which Records Are Sought Start Date

    Period for Which Records Are Sought Start Time

    —

    Period for Which Records Are Sought End Date

    Period for Which Records Are Sought End Time

    Start Date and End Date

33. Do you wish to inspect the records or receive a copy?*

    1. Inspect
    2. Copy

35. Format

    If you want to receive the records in a specific electronic format, please describe it.

37. Response Method: Do you want to receive the response via email?

    1. Yes
    2. No

39. The City of East Peoria will respond to the above request within five (5) working days starting one day after the above date unless one or more of the seven (7) reasons for an extension of time provided for in Section 3(e) of the Act are invoked by the City.

    The City of East Peoria will respond to the above request within five (5) working days starting one day after the above date unless one or more of the seven (7) reasons for an extension of time provided for in Section 3(e) of the Act are invoked by the City.

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field