Jason Page Page Telegram FOIA Services
[.........................................] [...................................] Fax: 202-207-3736
Email: pagetelegram@proton.me

Date: [.................]

VIA FAX & EMAIL (if available)
Chicago Police Department
FOIA Officer
3510 S. Michigan Avenue
Chicago, IL 60653

Fax: (312) 745-6940
Email: foia@chicagopolice.org

RE: FOIA REQUEST – INCIDENT REPORT & CASE STATUS
Defendant / Subject: [..................................................] Reporting Agency: [.....................................................] Filed on behalf of: Jason Page, Page Telegram FOIA Services

Dear FOIA Officer,

Pursuant to the Illinois Freedom of Information Act (5 ILCS 140/), I hereby request the following public records from the Chicago Police Department:

RECORDS REQUESTED

1. Any and all incident reports, supplemental reports, or complaint records filed by [.....................................................] (or any employee thereof) involving [.....................................................] of [.....................................................] as the subject, complainant, or person of interest.
   • Date range: [.......................] – present
   • Keywords / descriptors: “gifting,” “minor,” “mental health,” “protocol report,” “mandated report”
2. Current case status (e.g., open, closed, inactive, unfounded, no further action) for any RD number(s) associated with the above.
3. Redacted copy of the initial incident report (if public per 50 ILCS 205/3.2).

PURPOSE

This request is made for personal self-care and therapeutic purposes by the subject of the report, [.....................................................], who is experiencing significant anxiety related to the filing. Disclosure of the report and case status will assist in mental health treatment planning.

AUTHORIZATION & PRIVACY RELEASE

Attached:

• Signed FOIA Privacy Act Release Form (CPD Form 34-001 or equivalent)
• Government-issued photo ID (redacted SSN) of [.....................................................]
• Notarized Authorization Letter from [.....................................................] designating Jason Page of Page Telegram FOIA Services as their authorized representative to receive responsive records.

Express Consent:[.....................................................] authorizes the Chicago Police Department to release all responsive records, including redacted incident reports and case status, directly to:
Jason Page
Page Telegram FOIA Services
Email: pagetelegram@proton.me
Fax: 202-207-3736

REQUEST FOR EXPEDITED PROCESSING

This request qualifies for expedited processing under 5 ILCS 140/3(g)(2) because:

• The subject is experiencing severe emotional distress related to uncertainty about the case status.
• Disclosure is necessary for ongoing mental health treatment.

FORMAT & DELIVERY

• Preferred format: PDF via email to pagetelegram@proton.me
• Alternative: Mail to: Jason Page, [...........................................................................................................]
• Alternative: Fax to 202-207-3736
• Waiver of fees: Requested under 5 ILCS 140/6(c) for non-commercial, personal use. If fees exceed $25, please notify prior to processing.

Thank you for your prompt attention.
Please contact me at pagetelegram@proton.me with any questions.

Sincerely,

Jason Page
Authorized FOIA Representative
Page Telegram FOIA Services
On behalf of [.....................................................]

1. Notarized Authorization Letter

DATE:

To: Chicago Police Department FOIA Officer

I, [.................................], of [........................................................................], hereby authorize Jason Page of Page Telegram FOIA Services (pagetelegram@proton.me) to act as my representative and receive any and all records responsive to the above FOIA request, including incident reports and case status.

Signature: [..................................................] Print Name: [...............................................]

Notary:

Date: [.................]

2. Redacted Photo ID

• Scan driver’s license or state ID
• Black out SSN and photo (leave name, DOB, address visible)