Michigan Department of Licensing and Regulatory Affairs (LARA) LARA FOIA Office P.O. Box 30004 Lansing, MI 48909 Phone: (517)335-3327 Fax: (517)335-4037 LARAFOIAInfo@Michigan.gov REQUEST FOR PUBLIC RECORDS Michigan Freedom of Information Act (FOIA), 1976 PA 442 It is the public policy of the State of Michigan that all persons, except those persons incarcerated in state or local correctional facilities are entitled to full and complete information regarding the affairs of government and the official acts of those who represent them as public officials and public employees, consistent with the FOIA. The people of Michigan shall be informed so that they may fully participate in the democratic process. MCL 15.231 Please note: LARA does not maintain records regarding local/state police records, prisoners, welfare, or job training programs. Also, the FOIA relates to "public records" and this form should only be used to request copies of public records, and not for requesting answers to questions that incidentally may be reduced to writing. Select LARA Agency/Bureau(s) you believe may have records you request (if known): Name/Organization Mailing Address City E-mail Address Phone Number Fax Number State Zip Code Describe the public record(s) requested as specifically as possible (license numbers, file numbers, dates, address, locations, etc.) If necessary attach additional pages. LARA is an equal opportunity employer/program. Auxiliary aids, services, and other reasonable accommodations are available upon request to individuals with disabilities. Rev. (10/15) American LegalNet, Inc. www.FormsWorkFlow.com