Roxana, IL · Madison County
Police Department Freedom of Information Request
This form lets people request records from the Village of Roxana Police Department and choose whether to receive copies or review them in person.
What this form is
Use this form to request records from the Village of Roxana Police Department. It asks for your contact details, a description of the records, and whether you want copies or to review them in person. It also asks whether the request is for a commercial purpose and whether you seek a fee waiver; a waiver request must include a statement about its purpose.
Who needs it
Anyone seeking records from the Village of Roxana Police Department can use this form to describe the records and indicate how they want to access them.
How to submit it
Return the form by fax to 618-254-1950 or by mail to the Village of Roxana Police Department, 310 N. Central, Roxana, IL 62084.
About notarization
This document is signed without a notary; the form asks the requester to sign, and it does not identify a sworn or notarized attachment.
How to submit this form
- 1
Download The Form
Download the Village of Roxana Police Department Freedom of Information Request PDF.
- 2
Complete The Request
Provide your contact information, describe the records, and select how you want to access them.
- 3
Gather Any Attachment
If requesting a fee waiver, attach the statement about the request's purpose described on the form.
- 4
Sign And Submit
Sign the form and return it by fax to 618-254-1950 or by mail to 310 N. Central, Roxana, IL 62084.
Frequently asked questions
- Do I need a notary for the Police Department Freedom of Information Request?
- No. This form does not require notarization; the requester signs it, and it does not identify a sworn or notarized attachment.
- How do I submit the Police Department Freedom of Information Request?
- Fax the completed form to 618-254-1950 or mail it to the Village of Roxana Police Department, 310 N. Central, Roxana, IL 62084.
- What information does the request form ask for?
- It asks for your contact information, details about the records requested, your preferred way to access them, and whether the request is commercial or seeks a fee waiver.
- What should I include with a fee waiver request?
- Attach a statement explaining the purpose of the request and whether its principal purpose is to access or share information about the health, safety, welfare, or legal rights of the general public.