FOIA Submission Form

To request records from the Illinois Department of Public Health's (IDPH) Freedom of Information Officer, please complete the form below.


No fees are necessary at this time. Prior to responding to a request, we will contact you if a fee is required.


If the request is for individually identifiable information or personal health information, an authorization or release form permitting the disclosure of the information, signed by the person to whom the information is regarding or the person's legal representative, or a court order permitting such release, must be submitted with the request. You are able to submit attachments with your request. Failure to submit any required documentation authorizing the disclosure will result in a denial of the records or the redaction of any information that may lead to the identity of a person or the person's medical condition.


The Freedom of Information Act ("FOIA") [5 ILCS 140, et. seq.] requires a written response to non-commercial requests within 5 business days after the receipt of the request. Commercial requests require a response within 21 business days. The Department's response may include an extension for another 5 business days or a communication to an agreed upon date by the requestor and the Department.


PLEASE NOTE "Vital Records" including birth records, death records, marriage records, or any other related data request should be made directly to the Division of Vital Records by following the instructions at http://www.dph.illinois.gov/topics-services/birth-death-other-records. Any request which seeks information contained within vital records cannot be processed via a FOIA request, in accordance with 77 Il. Adm. Code 500.20.


GENERAL INFORMATION


Type in "N/A" if submitting as an individual.

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FOIA INFORMATION


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Type of Inquiry*
Type of Request*

Enter a clear description of the records you are requesting. Be as specific as possible and if you would like emails searched, please include email addresses to be searched and time frame for all searches.

If your FOIA request relates to a complaint that occurred at an IDPH-licensed nursing home (or any sort of IDPH-licensed health care facility), please include the IDPH-issued complaint number.


ATTACHMENTS

Attach releases or other supporting documents.


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