Pike County, IL · Pike County
Freedom of Information Act Request Form
Use this form to ask the Pike County Health Department to inspect or provide copies of public records.
At a glance
- Issued by
- City of Pike County · Pike County, Pike County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- pikecountyil.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form lets you describe the public records you want and indicate whether you want to inspect them, receive copies, or both. It also asks whether the request is for commercial purposes, provides space to request a fee waiver, and lets you set a maximum fee. The form states that the first 50 black-and-white copies are free, with additional copying and other costs described in its fee information.
Who needs it
Anyone seeking to inspect or obtain copies of public records from the Pike County Health Department can use this request form.
How to submit it
Submit the written request by mail, personal delivery, fax, email, or another available means to the FOIA Officer, Pike County Health Department, 606 W. Adams Street, Pittsfield, IL 62363.
About notarization
This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Request Form
Download the Pike County Health Department Freedom of Information Act Request Form.
- 2
Complete the Request
Describe the records and indicate whether you want to inspect them, receive copies, or both. Fill in the requested contact and fee information.
- 3
Gather Any Attachments
The form does not identify required attachments.
- 4
Submit to the Health Department
Send the written request by mail, personal delivery, fax, email, or another available means to the FOIA Officer at the address on the form.
Frequently asked questions
- What does the Pike County FOIA request form ask for?
- It asks you to describe the records, choose inspection or copies, state whether the request is commercial, and provide contact details. You can also request a fee waiver or set a maximum fee.
- How do I submit the public records request?
- Send the written request by mail, personal delivery, fax, email, or another available means to the FOIA Officer at the Pike County Health Department, 606 W. Adams Street, Pittsfield, IL 62363.
- Do I need a notary for the Pike County FOIA request form?
- No. This document is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
- Are copies of public records free?
- The form says the first 50 black-and-white pages on letter or legal-size paper are free. Additional black-and-white copies cost 15 cents per page; color, unusual-size copies, and recording media are charged at actual cost.