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me alty of perjury that the foregoing is true and correct. Executed on [date] . [If you choose, instead of using this statement, you can have your signature notarized.] _________________________ Your Namption in the FOIA, and iii) release all parts of the withheld material that are not exempt and can be released under the FOIA. Thank you for your prompt attention to this request. I declare under penany reason you deny my request or withhold certain information, that you i) provide a list of the denied or withheld materials, ii) justify these deletions and withholdings by referencing specific exe] If you need additional information to locate the requested items, please do not hesitate to contact me at the above address [Option: you can also include your phone number]. Also, I ask that if for Under the statute, if you make a request, you are considered to have agreed to pay all applicable fees to process your request up to $25.00. You can agree to pay more or you can seek a waiver of fees.u request will be handled promptly and correctly. If you want court case records, you will need to provide the title of the case.] I agree to pay processing fees for this request up to $____________ [ation: [Insert a description of the item or items that you are requesting. Be as specific as possible, providing names, dates, titles, subjects, etc. The more specific you are, the more likely that yoRMATION ACT REQUEST Dear Sir or Madam: Pursuant to the rights granted under the Freedom of Information Act, Title 5 of the United State Code section 552 ("FOIA"), I hereby request the following inform this request. Respectfully Yours, Your Name [Request Letter 2: Personal Request] Your Name Your mailing address Insert Date FOIA Officer Insert Address of the Agency or Bureau RE: FREEDOM OF INFOldings by referencing specific exemption in the FOIA, and iii) release all parts of the withheld material that are not exempt and can be released under the FOIA. Thank you for your prompt attention to number]. Also, I ask that if for any reason you deny my request or withhold certain information, that you i) provide a list of the denied or withheld materials, ii) justify these deletions and withho or you can seek a waiver of fees.] If you need additional information to locate the requested items, please do not hesitate to contact me at the above address [Option: you can also include your phonethis request up to $____________ [Under the statute, if you make a request, you are considered to have agreed to pay all applicable fees to process your request up to $25.00. You can agree to pay morec you are, the more likely that you request will be handled promptly and correctly. If you want court case records, you will need to provide the title of the case.] I agree to pay processing fees for ereby request the following information: [Insert a description of the item or items that you are requesting. Be as specific as possible, providing names, dates, titles, subjects, etc. The more specifincy or Bureau RE: FREEDOM OF INFORMATION ACT REQUEST Dear Sir or Madam: Pursuant to the rights granted under the Freedom of Information Act, Title 5 of the United State Code section 552 ("FOIA"), I hyou are requesting information that is personal to you (e.g. records specifically concerning you). [Request Letter 1] Your Name Your mailing address Insert Date FOIA Officer Insert Address of the Ageo I use? This packet contains two letters. Use Letter 1 if you are requesting information that is not personally rela ted to you or another. For example, a committee or agency report. Use Letter 2 if o the agencies "FOIA Officer." This will help it get to the right person. 3) How long do they have to respond? By statute, the agency has 20 business days to respond to your request. 4) Which letter de you have figured out the agency, you need to find that agency's address. Your public library or the internet are great resources to find the appropriate address. You should also address the letter tort=hr172&dbname=cp108&. 2) Where do I send it? Your request will be handled quickest if you send it to the right agency or bureau in the Executive Branch (e.g. Department of Interior, HUD, etc.). Onchat have been specifically exempted from this provision (e.g. classified documents). If you would like more information, check out the following website at http://thomas.loc.gov/cgi-bin/cpquery/T?&repe 5 of the United States Code section 552, you have the right to request and obtain most documents from the executive branch of the federal government. However, you don't have the right to documents ter person, the second if you are requesting information that is personal to you. Choose the letter that is appropriate for your situation. Frequently Asked Questions: 1) It's my right? Yes. Under titl you successfully request those documents and give you information about your rights. This packet contains two letters: one is if you are requesting information that is not specific to your or any othd obtain documents from any agency of the Executive Branch of the U.S. government (any document except those that are exempted by statute such as classified documents). This packet is designed to helprms is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com Information Freedom of Information Act Request Letter The Freedom of Information Act gives you the right to request an in the Letters to help guide you. Erase these instructions before printing your final version. These forms are not intended and are not a substitute for legal advice. The purchase and use of these fovelope "FOIA REQUEST." This will help ensure that it gets to the right place. Insert all requested information in the spaces provided on the form. Bracketed, italicized instructions have been insertedother. For example, a committee or agency report. Use Letter 2 if you are requesting information that is personal to you (e.g. records regarding you). Be sure to label the left lower corner of your enbout the FOIA Request Letters; and (3) The Request Letters (2) Two Letters have been included in this packet. Use Letter 1 if you are requesting information that is not personally related to you or anInstructions & Checklist Freedom of Information Act Request Letter This package contains: (1) Instructions and Checklist for the Freedom of Information Act ("FOIA") Request Letters; (2) Information a