Date of Request

Name of Requestor

Street Address of Requestor

City, State and ZIP

Daytime Phone Number

Fax Number

Email Address

Organization or News Site of Requestor

(Please check if applicable. Response time: 21 working days of receipt.)
This is a request for commercial purpose.

I hereby request access to the following records (describe specifically):

You always have the right to review and/or receive hard copies of released records.

Please check your preferred method of access:
Inspection of the records at the Park District Office (no fees apply).A Paper Copy. No fee applies for first 50 pages of black and white, letter or legal sized copies. Copy fee applies for page 51 onward - $0.15 per 8 ½ x 11 page or $0.30 two-sided $.20 per 8 ½ x 14 page or $.40 two-sided.An Electronic copy of the documents. This option is only available if the document(s) currently exist in that form.

If paper copy, choose one:
I will pick-up at the Park District Office.Please mail to the above address.Please fax to the above fax number.