Roxana, IL · Madison County

No notary required

Police Department Freedom of Information Request

Use this form to request records from the Village of Roxana Police Department and choose whether to receive copies or review them at the department.

What this form is

This form lets a requester seek records from the Village of Roxana Police Department. It asks for contact details, a description of the records, the preferred method of receiving or reviewing them, and whether the request is commercial or includes a fee-waiver request. The form says to attach a statement explaining the purpose when requesting a fee waiver.

Who needs it

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

How to submit it

Return the completed form to the Village of Roxana Police Department by fax at 618-254-1950 or by mail to 310 N. Central, Roxana, IL 62084.

About notarization

This request is signed without a notary; the form asks the requester to sign and does not identify any notarized attachment or step.

How to submit this form

  1. 1

    Download the Form

    Download the Village of Roxana Police Department Freedom of Information Request PDF.

  2. 2

    Complete the Request

    Provide your contact details, describe the records, and select how you want to access them.

  3. 3

    Gather Any Attachment

    If requesting a fee waiver, attach a statement of the request's purpose as described on the form.

  4. 4

    Submit to the Police Department

    Fax the completed form to 618-254-1950 or mail it to 310 N. Central, Roxana, IL 62084.

Frequently asked questions

What records can I request with this form?
Use the form to describe records you are seeking from the Village of Roxana Police Department. It asks you to provide as much specific detail as possible to help identify the information.
How do I submit the Freedom of Information Request?
Return the completed form to the Village of Roxana Police Department by fax at 618-254-1950 or by mail to 310 N. Central, Roxana, IL 62084.
Do I need a notary for this Freedom of Information Request?
No. This form is signed without a notary and does not identify any notarized attachment or step. If you request a fee waiver, attach the purpose statement described on the form.
Can I ask to review records instead of receiving copies?
Yes. The form lets you choose to review documents at the Village of Roxana Police Department or receive copies. For copies, it also asks you to select paper or electronic copies.

Need something notarized?

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