BUREAU HENRY STARK REGIONAL OFFICE OF EDUCATION
107 SOUTH STATE STREET
ATKINSON, IL 61235
Phone 309-936-7890
FREEDOM OF INFORMATION ACT
Approval of Request for Public Records
FROM: ____________________________________________________________________
NAME (Print)
____________________________________________________________________
ADDRESS (Print)
____________________________________________________________________
CITY, STATE, ZIP (Print)
____________________________________________________________________
PHONE NUMBER
DESCRIPTION OF REQUESTED RECORD(S):
Your request dated __________________________ for the above captioned records has been approved.
____ The documents you requested are enclosed.
____ The documents will be made available upon payment of copying costs in the amount of $_________.
____ You may inspect the records at __________________________________________________
__________________________________ on ______________________
Date
_____________________________ _________________________ ________________________
Signature Title Date
Appendix B may be downloaded as a PDF file from THIS LINK.