IDOI FOIA Request

Freedom of Information Act Request Form

This form is for Illinois Department of Insurance FOIA Requests only!

IMPORTANT NOTICE: Disclosure of public records is required to comply with the provisions of the Illinois Freedom of Information Act and Public Records Rule. Click here to view a general categorical list of records.

To request a copy of a public record, please type in the information required below along with a description of the records(s) sought. Be as specific as possible in describing the document requested, identify the date or time span for the records sought, and include any additional information which may assist the Department with the identification of the record(s). Please note that an asterisk (*) indicates a required field. We also require either a work phone number or a home phone number.

Errors were detected in the form, please correct these and resubmit:

First Name: *

Last Name: *

Company Name:

Address 1: *

Address 2:

City: *

State: *

Zip: *

Email:

Phone Type: *

Phone: *

Extension:

Records Requested: *

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Will the information requested be used in any form for any commercial purpose such as sale, resale, or solicitation or advertisement for sales or services? *

Do you want to inspect the records requested? *

Do you want copies of the records requested? *

Are you a member of the press? *

Are you a member of a government agency? *

The undersigned requester, pursuant to the provisions of the Illinois Freedom of Information Act, hereby requests access to public information maintained by the Department as described.

Furthermore, the undersigned requester acknowledges that copies are $1.00 per page (the first 50 pages of black and white, letter or legal sized copies are free).

I agree with the terms of this request!