City of Albion, Calhoun County 112 Cass Street Albion, MI 49224 Tel:(517)629-5535 FOIA Request for Public Records Michigan Freedom ofInformation Act, Public Act 442 of1976, MCL 15.231, ets seq. Name: Firm/Organization: Street: City: Request No.: Date ofThis Notice: Phone: Fax: Email: Zip: State: Date Received: Check ifreceived via DI Email DFax DOther Electronic Method Date delivered toj junk/spam folder: Date discovered in junk/spam folder: Request for: 0 Copy Certified Copy D Record inspection 0 Subscription to record issued on regular basis Delivery Method: D Will pick up D Will make own copies onsite N Mail to above Email to address above DD Deliver on digital media provided by the City: the technological capability to do SO. Note: The City is not required toj provide records in a digital format or on digital media ifthe Citydoes not already have Describe the public record(s) as specifically as possible. You may use this form or attach additional sheets: Consent to Non-Statutory Extension of City's Response Time Ihave requested a copy ofrecords or a subscription to records or the opportunity to inspect records, pursuant to the Michigan Freedom ofInformation. Act, Public. Act 442 of1976, MCL 15.231, et seq. I understand that the City must respond tot this request within five (5) business days after receiving it, and that response may include taking a 10- business day extension. However, Ihereby agree and stipulate to extend the City'sresponse time for this request until: (month, day.year). Requestor's Signature Date: Records Located on Website Ifthe City 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 Ifthel FOIA coordinator knows or has reason to know that all or aj portion oft the requested information is available on its website, the City must notify the requestor in its written response that all or aj portion oft 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 City 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 requestor of the additional charge to receive copies of the public records that are available on its Ifthe City has included the website address for a record in its written response to the requestor and the requestor thereafter stipulates that the public record be provided to him or her ina a paper format or other form, including digital media, the City must provide the public records in the specified format (ift the City 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 Ihereby stipulate that, even if some or all of the records are located on a City website, Ia am requesting that the City make copies of those records on the website and deliver them to me in the formatIhave requested above. I understand (separate exempt information, from non-exempt information). website. the specified format. Request for Copies/Duplication of Records on City Website that some FOIA fees may apply. Requestor's Signature Date: Overtime Labor Costs Overtime wages shall not bei included in the calculation of labor costs unless overtime is specifically stipulated by the requestor and clearly noted on the detailed cost itemization form. Consent to Overtime Labor Costs Ihereby agree and stipulate to the City using overtime wages in calculating the following labor costs as itemized in the 1.0 Labor to copy/duplicate 2.0 Labor to locate 3a. D Labor to redact 3b.D Contract labor to redact following categories: 6b.0 Labor to copy/duplicate records already on City's website Requestor's Signature Date: