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Freedom of Information Act Request Form





Zip Code:



The FOIA requires a public body to give copies of documents to the requestor.  Description of documents requested. (Please make as detailed as possible. Do not press enter or use carriage return within this box)

FOIA Requests – Fee Schedule

  • Copy Paper:                                     $0.10 per sheet  
  • Photo Paper                                     $1.81 per sheet
  • Blueprint Copy:                                $2.00 per sheet
  • CD’s                                                 $0.12 each
  • Flash Drive                                       Purchase Price
  • Vinyl CD Sleeve                               $0.07 each           
  • Postage                                           Actual USPS Cost
  • Mileage                                            IRS Reimbursement Rate

This fee is the hourly wage and a portion of the benefit cost of the lowest paid employee capable of performing the request.  The rate below is the lowest paid employee wage.  You will be notified prior to the processing of this request of this wage rate differs.
Research                                    $20.34 per hour (17.34 wage + 3.00 fringe benefits)
Duplication                                  $20.34 per hour (17.34 wage + 3.00 fringe benefits)
Redaction                                    $20.34 per hour (17.34 wage + 3.00 fringe benefits)
Contracted labor costs
Are only permitted if Shelby Township does not have an employee capable of performing this work and cannot exceed $48.90 per hour. You will be notified prior to processing this request if contracted labor estimated cost is applicable.


Copying Options: (Please check one):
Please provide a copy of the requested record.
Please allow me the opportunity to inspect the requested public record prior to copying.
NOTE:  You will be charged for labor even if you do not want a copy of the documents.

Mailing Options: (Please check one):
Call me at the number above so I can pick the documents up.
Mail the documents to me. (You will be charged postage.)
Email the response to me if possible
Fax the results to me at . (You will be billed for charges incurred.)

Payment: (Please check one):
I understand that the public body will charge me a fee for copying, searching, reviewing, mailing, separating and deleting exempt material.
I, the Requester, have attached an “Affidavit of Indigence” or am requesting on behalf of a qualified non-profit organization and ask the Public Body to furnish the material(s) without charge for the first $50 of the required fees.

I understand that by submitting an electronic Freedom of Information Act request the public body has 6 business days to respond, but may request an extension of 10 additional days if needed.