Freedom of Information (FOIA) Request Form

  • MM slash DD slash YYYY
  • Please provide as much specific detail as possible so the public body can identify the information that you are seeking. You may attach additional pages if necessary.
  • Electronic copies will be issued in PDF format to the e-mail listed above.
  • (It is a violation of the Freedom of Information Act for a person to knowingly obtain a public record for a commercial purpose without disclosing that it is for commercial purpose, if requested to do so by the public body. 5 ILCS 140.31(c)).
  • (If you are requesting that the public body waive any fees for copying the documents, you must attach a statement of the purpose of the request and whether the principal purpose of the request is to access or disseminate information regarding the health, safety, and welfare or legal rights of the general public. 5 ILCS 140/6(c)).

If you prefer you can use the attached PDF. Download the PDF to your computer, fill in the requested information, save, print, and submit to the Village. Please follow the directions on the form.

Send the completed PDF by email to and

Or print and mail the completed form to:

Melody Salerno
Village of Hodgkins
8990 Lyons Street
Hodgkins, Illinois 60525