Fillable Foia Request Form - Emmet County (Page 2 of 2) in pdf

Records Located on Website

If the County directly or indirectly administers or maintains an official Internet presence, any public records available to the general public

on that Internet site at the time the request is made are exempt from any labor charges to redact (separate exempt information from non-

exempt information).

If the FOIA Coordinator knows or has reason to know that all or a portion of the requested information is available on its website, the

County must notify the requester in its written response that all or a portion of the requested information is available on its website. The

written response, to the degree practicable in the specific instance, must include a specific webpage address where the requested

information is available. On the detailed cost itemization form, the County must separate the requested public records that are available

on its website from those that are not available on the website and must inform the requester of the additional charge to receive copies of

the public records that are available on its website.

If the County has included the website address for a record in its written response to the requester and the requester thereafter stipulates

that the public record be provided to him or her in a paper format or other form, including digital media, the County must provide the

public records in the specified format (if the County has the technological capability) but may use a fringe benefit multiplier greater than

the 50%, not to exceed the actual costs of providing the information in the specified format.

Request for Copies/Duplication of Records on County Website

I hereby stipulate that, even if some or all of the records are located on a County website, I am requesting that the County make copies of

those records on the website and deliver them to me in the format I have requested above. I understand that some FOIA fees may apply.

Requester’s Signature:

Date:

Overtime Labor Costs

Overtime wages shall not be included in the calculation of labor costs unless overtime is specifically stipulated to by the requester and

clearly noted on the detailed cost itemization form.

Consent to Overtime Labor Costs

I hereby agree and stipulate to the County using overtime wages in calculating the following labor costs as itemized in the following

categories:

Labor to copy/duplicate 2.

Labor to locate

3a.

Labor to redact

3b.

Contract labor to redact

6b.

Labor to copy/duplicate records already on County’s website

Requester’s Signature:

Date:

Request for Discount: Indigence

A public record search must be made and a copy of a public record must be furnished without charge for the first $20.00 of the fee for

each request by an individual who is entitled to information under this Act and who:

1) Submits an affidavit stating that the individual is indigent and receiving specific public assistance, OR

2) If not receiving public assistance, stating facts showing inability to pay the cost because of indigence.

If a requester is ineligible for the discount, the public body shall inform the requester specifically of the reason for ineligibility in the public

body's written response. An individual is ineligible for this fee reduction if ANY of the following apply:

(i) The individual has previously received discounted copies of public records from the same public body

twice during that calendar year,

(ii) The individual requests the information in conjunction with outside parties who are offering or providing payment

or other remuneration to the individual to make the request. A public body may require a statement by the requester in the affidavit

that the request is not being made in conjunction with outside parties in exchange for payment or other remuneration.

I am submitting an affidavit and requesting that I receive the discount for indigence for this FOIA request.

Date:

Requester’s Signature:

Office Use:

Affidavit Received

Eligible for Discount

Ineligible for Discount

Request for Discount: Nonprofit Organization

A public record search must be made and a copy of a public record must be furnished without charge for the first $20.00 of the fee for each request by

a nonprofit organization formally designated by the State to carry out activities under subtitle C of the Developmental Disabilities Assistance and Bill of

Rights Act of 2000 and the Protection and Advocacy for Individuals with Mental Illness Act, if the request meets ALL of the following requirements:

(i) Is made directly on behalf of the organization or its clients.

(ii) Is made for a reason wholly consistent with the mission and provisions of those laws under section 931 of the Mental Health Code,

1974 PA 258, MCL 330.1931.

(iii) Is accompanied by documentation of its designation by the State, if requested by the County.

I stipulate that I am a designated agent for the nonprofit organization making this FOIA request and that this request

is made directly on behalf of the organization or its clients and is made for a reason wholly consistent with the

Date:

mission and provisions of those laws under section 931 of the Mental Health Code, 1974 PA 258, MCL 330.1931:

Requester’s Signature:

Office Use:

Documentation of State Designation Received

Eligible for Discount

Ineligible for Discount

(Derived from a form created by the Michigan Townships Association, April 2015)

Foia Request Form - Emmet County Page 2

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