Freedom of Information Act

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Freedom of Information Request

Please correct the field(s) marked in red below:

1
Contact Information
 *
Contact Information
2
I, the undersigned, do hereby request to examine and/or copy those records maintained by the City of Effingham which pertain to:
 *
I, the undersigned, do hereby request to examine and/or copy those records maintained by the City of Effingham which pertain to:
3
Please specify department and records sought.
4
I have read and understand the fees set forth in the "Schedule of Duplication". At my request, copies may be mailed to me via certified mail at $5.75 for the first ounce and $.20 per each additional ounce.l I also understand that all fees must be prepaid.
I have read and understand the fees set forth in the "Schedule of Duplication". At my request, copies may be mailed to me via certified mail at $5.75 for the first ounce and $.20 per each additional ounce.l I also understand that all fees must be prepaid.
5

Terms and Conditions Agreement 

Click here to view Terms and Conditions

6
Electronic Signature
Electronic Signature
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