Roxana, IL · Madison County

No notary required

Freedom of Information Request

Residents and others use this form to request Village of Roxana records and choose whether to receive copies or review them at Village Hall.

What this form is

Use this form to request records from the Village of Roxana and indicate whether you want copies or to review the records at Village Hall. It asks for your contact information, details about the records, delivery preferences, and whether the request is for a commercial purpose. If requesting a fee waiver, attach a statement explaining the request’s purpose.

Who needs it

Anyone seeking Village of Roxana records can use this form to describe the records and state how they want to access them.

How to submit it

Return the form to the Village of Roxana Village Hall by fax at 618-254-2316 or by mail to 400 So. Central, Roxana, IL 62084.

About notarization

This document is signed without a notary; the signer signs the request, and the form does not require a notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Village of Roxana Freedom of Information Request form.

  2. 2

    Complete The Request

    Provide your contact details, describe the records you seek, and select your preferred way to access them.

  3. 3

    Gather Any Attachment

    If requesting a fee waiver, attach a statement explaining the purpose of your request.

  4. 4

    Submit To Village Hall

    Return the form by fax to 618-254-2316 or by mail to 400 So. Central, Roxana, IL 62084.

Frequently asked questions

Do I need a notary for the Freedom of Information Request?
No. The form is signed without a notary. If you request a fee waiver, attach a statement explaining the purpose of your request; the form does not say that statement must be notarized.
How do I submit the Freedom of Information Request?
Return the completed form to Village Hall by fax at 618-254-2316 or by mail to 400 So. Central, Roxana, IL 62084.
What information does the request form ask for?
It asks for your contact information, the records you seek, whether the request is for a commercial purpose, and whether you want copies or to review the records at Village Hall.
Can I request a fee waiver?
Yes. Mark the fee-waiver option and attach a statement describing the purpose of the request and whether its principal purpose is to access or disseminate information about the public’s health, safety, welfare, or legal rights.

Need something notarized?

This Freedom of Information Request doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.