Freedom of Information Act Request Application

4. Application

6. Requestor(s) Name*

8. Address*

10. City*

11. State*

12. Zip Code*

14. Phone Number*

15. Email Address*

17. Information Requested*

19. Is the requested information two years old or less?*

    1. Yes
    2. No

23. Applicable Fees

25. Prints/copies 8.5"x11" to 11"x17"

    $0.03 BW and $0.05 color per page in excess of 4 pages. Note: Copying fees will be waived for requests involving four or fewer pages. However; if copies are provided through another agency or third provider, or if a different rate is page 4 of 5 specified by law or ordinance, the County will charge the same costs it incurs to provide copies. Fees established by law or ordinance will take precedence over this policy.

    $0.03 BW and $0.05 color per page in excess of 4 pages. Note: Copying fees will be waived for requests involving four or fewer pages. However; if copies are provided through another agency or third provider, or if a different rate is page 4 of 5 specified by law or ordinance, the County will charge the same costs it incurs to provide copies. Fees established by law or ordinance will take precedence over this policy.

26. Prints/copies/maps larger than 11"x17"

    Price will depend on site plans, etc. document(s) being requested.

    Price will depend on site plans, etc. document(s) being requested.

27. Records Research

    Hourly fee shall be based on the hourly rate of the person researching the requested records.

    Hourly fee shall be based on the hourly rate of the person researching the requested records.

29. Fax

    $1 per page transmitted

    $1 per page transmitted

30. Special Computer Programming

    $50 per hour (minimum of 1 hour)

    $50 per hour (minimum of 1 hour)

31. CD/DVD/Thumbdrive

    Based on cost of media

    Based on cost of media

35. Disclaimer & Signature

37. For any questions regarding the FOIA process, please review the SC State Freedom of Information Act Law; as well as, the York County Freedom of Information Act Policy. For information regarding the denial and/or redactions for solicitations, please review the Family Privacy Protection Act of 2002 (on County FOIA website page). Information provided on this form, may be subject to the South Carolina Freedom of Information Act and may be disclosed to third parties in accordance with applicable law.

    For any questions regarding the FOIA process, please review the SC State Freedom of Information Act Law; as well as, the York County Freedom of Information Act Policy. For information regarding the denial and/or redactions for solicitations, please review the Family Privacy Protection Act of 2002 (on County FOIA website page). Information provided on this form, may be subject to the South Carolina Freedom of Information Act and may be disclosed to third parties in accordance with applicable law.

39. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my request.

    Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my request.

41. Signature*

42. Date of Request*
    Date of Request

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field