EmailMeForm
Request for Public Records
Black Hawk College District #503
FOIA Officer
Black Hawk College
Attn: John Meineke
6600 34th Ave
Moline, IL 61265
meinekej@bhc.edu
Requestor Information:
Name
*
First
Last
Company/Organization
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
###
-
###
-
####
Fax
###
-
###
-
####
Email
Further Information
Date of Request
*
MM
/
DD
/
YYYY
Is this request for commercial purposes?
(It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for commercial purposes without disclosing that it is for a commercial purpose. )
*
Yes
No
"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 advertisement for sales or services. 5 ILCS 140/2 (c-10).
Describe in detail the public records you are requesting:
*
Indicate if you wish to inspect the public records described above or desire a copy of them
Inspect
Copy
Both
Fees
There is no fee for copying for the first 50 black and white standard-sized copies. The fee for additional copies is $0.15 cents per page. FOIA requests must be submitted in writing by personal delivery, mail, fax or e-mail. Verbal requests will not be accepted.
