Appendix 1901.APPENDIX A

Ill. Admin. Code tit. 2, § 1901.APPENDIX A

Request for Public Records

Effective Dec 26, 199520 Ill. Reg. 358AUTHORITY: Implementing and authorized by the Freedom of Information Act [5 ILCS 140/1 et seq.] and Section 5-15 of the Illinois Administrative Procedure Act [5 ILCS 100/5-15].ILLINOIS HEALTH FACILITIES AUTHORITY

TO: Freedom of Information Officer Illinois Health Facilities Authority 180 North Stetson Avenue, Suite 1100 Chicago, Illinois 60601	FROM:
Name
Address
ZIP ( )
Telephone
Description of Requested Record(s):
Please indicate if you wish to inspect the above-captioned records or wish a copy of them:
Inspection	Copy	Both
FOR OFFICE USE ONLY:
Date Received		Date Response Due

(Source: Amended at 20 Ill. Reg. 358, effective December 26, 1995)