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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 of Person Making Request
17. Email Address
19. City
20. State
21. Zip Code
23. Request Subject*
    Summary of Request Being Made
25. Request Details*
    Describe in detail the Public Records you are Requesting and State whether you wish to Inspect and/or Copy such Records
27. Delivery Options*
    -- Select One --Pick-upEmailFaxMail

    Select from these Options how you wish to Receive your Request
29. Date of Request*
    Date of Request
31. The East Peoria Police Department will respond to the above request within FIVE (5) WORKING DAYS FROM THE DATE OF REQUEST 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 POLICE DEPARTMENT. By submitting this form, you authorize the East Peoria Police Department to redact any dates of birth from any documents which may be released to you in response to your FOIA request. This may expedite the processing of your request.
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field