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FOIA Request

  1. Keep original and provide copy of both sides, along with Public Summary, to requester at no charge.

  2. Note: Requesters are not required to use this form. The county may complete one for record keeping if not used.

  3. 405 N Winter Street
    Adrian, MI 49221

    Phone:517-263-0524
    Fax: 517-265-2284
    Email
    Website

  4. Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq.

  5. Check if received via:

  6. Request For:

  7. Delivery Method

  8. I have requested a copy of records or a subscription to records or the opportunity to inspect records, pursuant to the Michigan Freedom of Information Act, Public Act 442 of 1976, MCL 15.231, et seq. I understand that the county must respond to this request withing 5 business days after receiving it, and that response may include taking a 10 business day extension. However, I hereby agree and stipulate to extend the county's response time for the request until the following date:

  9. Leave This Blank:

  10. This field is not part of the form submission.