Roxana, IL · Madison County
Freedom of Information Request
Roxana residents and others use this form to request records from the Village of Roxana Police Department under the Freedom of Information Act.
What this form is
Use this form to request records from the Village of Roxana Police Department. It asks for your contact information, the records you seek, how you want to receive or review them, and whether the request is for a commercial purpose or includes a fee-waiver request. If requesting a fee waiver, attach a statement explaining the request’s purpose as described on the form.
Who needs it
Anyone seeking records from the Village of Roxana Police Department can use this form to describe the information they are requesting.
How to submit it
Return the completed request by fax to 618-254-2316 or by mail to 310 N. Central, Roxana, IL 62084.
About notarization
This request is signed and dated without a notary; if seeking a fee waiver, attach the purpose statement described on the form.
How to submit this form
- 1
Download the Form
Download the Village of Roxana Police Freedom of Information Request PDF.
- 2
Complete the Request
Provide your contact information, describe the records you want, and select your preferred way to receive or review them.
- 3
Gather Any Attachment
If requesting a fee waiver, attach the statement about the request's purpose described on the form.
- 4
Submit to the Village
Return the form by fax to 618-254-2316 or mail it to 310 N. Central, Roxana, IL 62084.
Frequently asked questions
- Do I need a notary for the Freedom of Information Request?
- No. The request is signed and dated without a notary. If you request a fee waiver, attach the purpose statement described on the form.
- How do I submit the Freedom of Information Request?
- Return the completed form by fax to 618-254-2316 or mail it to 310 N. Central, Roxana, IL 62084.
- What information does the request form ask for?
- It asks for your contact details, the records requested, your preferred way to receive or review them, and whether the request is for a commercial purpose.
- What should I attach if I request a fee waiver?
- Attach a statement describing the purpose of the request and whether its principal purpose is to access or share information about the public's health, safety, welfare, or legal rights.