Section 1551.APPENDIX A Request for Public Records

TO: Freedom of Information Office State Board of Elections 2329 S. MacArthur Blvd.Springfield, Illinois 62704	FROM:	(Please print or type)


		Name

		Address (No P.O. Box Numbers will be Accepted)
		/
		Area Code/Telephone Number

Description of Requested Record(s)

Please indicate if you wish to inspect the records identified above or to copy them:

_______Inspect

_______Copy

_______Both

For Office Use Only:


Date Received		Date Response Due

(Source: Amended at 49 Ill. Reg. 11098, effective August 20, 2025)