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FOIA Request For Public Records

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Housing Authority of South Bend
Phone: 574.235.9346 • Fax: 574.544.5165
501 Alonzo Watson Dr. • South Bend, IN 46601
Monday-Thursday 8:30 am-5:30 pm (Closed Fridays)

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Exhibit "A"
Housing Authority of South Bend
Freedom of Information Act (FOIA) Request for Public Records

Fields marked with * must be completed or form will not submit.

[{"type":"date","required":true,"label":"Date of Request:","name":"Date-of-Request","className":"col-lg-4"},{"type":"text","required":true,"label":"First Name of Requestor:","name":"First-Name-of-Requestor","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Last Name of Requestor:","name":"Last-Name-of-Requestor","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Requestor Phone Number:","name":"Requestor-Phone-Number","className":"col-md-6"},{"type":"text","required":true,"label":"Street Address:","name":"Street-Address","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City:","name":"City","className":"col-lg-4","subtype":"text"},{"type":"select","required":true,"label":"State:","name":"State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN","selected":true},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","required":true,"label":"Zip Code:","name":"Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"email","required":true,"label":"Requestor Email:","name":"Requestor-Email","className":"col-md-6"},{"type":"text","subtype":"email","required":true,"label":"Requestor Email Confirmation:","name":"Requestor-Email-Confirmation","className":"col-md-6"},{"type":"checkbox-group","required":true,"label":"Please indicate the Department the request should be forwarded to:","name":"Please-indicate-the-Department-the-request-should-be-forward-to","other":true,"className":"d-block","values":[{"label":" Public Housing Operations","value":"public-housing-operations"},{"label":" Housing Choice Voucher Operations","value":"housing-choice-voucher-operations"},{"label":" Maintenance Operations","value":"maintenance-operations"},{"label":" Administrative/Finance/Purchasing Operations","value":"administrative-finance-purchasing-operations"}]},{"type":"textarea","required":true,"label":"Description of records requested:","name":"Description-of-records-requested","subtype":"textarea","rows":4,"className":"d-block"},{"type":"radio-group","required":true,"label":"Are these records for a commercial use/purpose?","inline":true,"name":"Are-these-records-for-a-commercial-usepurpose","className":"d-block","values":[{"label":" Yes","value":"yes"},{"label":" No","value":"no"}]},{"type":"checkbox-group","required":true,"label":"Please indicate how you would like to receive this information:","name":"Please-indicate-how-you-would-like-to-receive-this-information","other":true,"className":"d-block","values":[{"label":" Inspection at Housing Authority Office","value":"inspection-at-housing-authority-office"},{"label":" Hard copy for pick up","value":"hard-copy-for-pick-up"},{"label":" Hard copy by mail (will be sent to address above)","value":"hard-copy-by-mail"},{"label":" Fax","value":"fax"},{"label":" Email (will be sent to email above)","value":"Email"}]},{"type":"text","subtype":"tel","label":"Fax Number (If selected above):","name":"Fax-Number","className":"d-block"},{"type":"paragraph","subtype":"p","label":"In accordance with FOIA, the Housing Authority of South Bend must:<br><br>1. For records less than 24 months old, notify the person making the request of the Housing Authority's determination as to the public availability of the requested public record within 10 working days (excludes Saturdays, Sundays, and legal public Holidays) and produce the requested information within 30 calendar days of the latter of either the Housing Authority's notification as to the availability of the requested public record or the date an advance deposit is made if required by the Housing Authority.<br><br>2. For records more than 24 months old, notify the person making the request of the Housing Authority's determination as to the public availability of the requested public record1 within 20 working days (excludes Saturdays, Sundays, and legal public holidays) and produce the requested information within 35 calendar days of the latter of either Housing Authority's notification as to the availability of the requested public record or the date an advance deposit is made if required by the Housing Authority.","className":"d-block"}]

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