Freedom of Information Act Request Form
Date: ___________________________________
Name: ________________________________________________________________
Address: ______________________________________________________________
______________________________________________________________________
Phone Number: _______________________
E-mail Address: ________________________
Be specific and provide as much detail as possible to ensure that Public
Records Requested:
Media Network (“PMN“) is able to identify the information being requested.
I would like the materials provided to me in the following way:
Mailed to the above address
Call above phone number and I will pick up the documents
Electronically to the following email address:
Please note that PMN has five (5) business days after the receipt of this request to process your
request.
FOIA Coordinator – Public Media Network
359 S. Kalamazoo Mall
Kalamazoo, MI 49007
Email:
29346811.1\109386-00001