ATLAS TOWNSHIP

Request for Information Form

(FOIA)

Date of request (request to be date stamped upon receipt): _____________________.

Name, Address and Phone Number of requestor:

1.  Specify records being requested: (e.g.:  bank statements, Township Board minutes, Fire Fund budget, etc:

2.      Time frame: year(s) and date(s) of document request:

Fees:

A fee will be charged if copies of public record are requested.  There is no fee for an individual to review public records.  The cost *per copy is .25¢.  If the request requires search, examination, or deletion of items exempt from disclosure (as provided in Section 14 of the Freedom of Information Act), the hourly rate of the lowest paid public employee capable of retrieving the information will be charged.  Mailing costs will be included in the fee.  Multiple record requests or requests from prior year(s) may require more time for a request to be completed.  Unless otherwise agreed to in writing by the person making the request, the township shall respond to a request for a public record within five (5) business days by doing one (1) of the following:

(a)    Granting the request.

(b)   Issue a written notice to the requesting person denying the request in part.

(c)    Granting the request in part with written notice to the requesting person denying the request in part.

(d)   Issuing a notice extending for not more than 10 business days the period during which the township shall respond to the request.

*Cost for assessment cards is $ 2.00 per card. This fee includes all file contents.

Payment of fees must be made to the township prior to the release of information.  If cost is predetermined to be excessive, a deposit amount determined by the FOIA Coordinator will be required before research begins. All efforts will be made to expedite each request however, please extend courtesy to the individuals assisting you as they have other duties and responsibilities that may not allow for an immediate response to your request.  All requests must be in writing.  A written request made by facsimile, electronic mail, or other electronic transmission is not received by the township FOIA coordinator until one (1) business day after the electronic transmission is made.  (P.A. 442, Section 15.235).  The township is not obligated to create a document that does not already exist.  This exemption includes analyzing, compiling or summarizing existing information into a new format.

Date of response:__________________.

Cost per copy:  .25¢  x Number of copies ___________ =  $ ___________.

Hourly labor rate:  $ __________  x  Number of hours________ = $ __________.

Total Charges:  $ ______________.

Signature of requestor ________________________________________________

Initialed by township:  ________