Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Commercial Request

Yes

No

Date of Request

MM

DD

YYYY

Records Requested

Please described in detail below the public records you are requesting and state whether you wish to inspect and/or copy such records. Also, please state whether such public records are to be certified

The Creve Coeur Police Department will respond to the above request within five (5) working days from the above date unless one or more of the seven (7) reasons for an extension of time provided for in Section 3(d) of the Act or invoked by the department.

FOIA Request Form

Village of Creve Coeur, IL