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2. Request for Information under the Illinois Freedom of Information Act
4. Instructions to Applicant:
   
5. The following information must be provided prior to submitting this form.
   
6. The City of Columbia will respond to this request within five (5) business days from the date requested.
   
8. Name of Requestor:
10. Last*
11. First*
13. Address
15. Street*
17. City*
18. State*
19. ZIP*
21. Phone:*
22. Email Address:
24. I hereby request the following records
    Please be as specific as possible.
26. Do you wish to (check one):*

    1. Schedule a review of the document(s)
    2. Pick up a hard copy of the document(s) at the City Clerk's office
    3. Receive the document(s) via email
28. Please be aware that, due to file size, not all documents will be eligible for email delivery. If the City Clerk's Office is unable to provide documents electronically, the requestor will be contacted to discuss alternate arrangements.
30. Signature:
32. If you agree to the terms of this form, please type your name here:*
Leave This Blank:


33. Submit

* indicates a required field