Electronic Freedom of Information Act Request Form

To make an Electronic Freedom of Information Act (E-FOIA) request, please fill in the following information:

Enter your contact information:
(Failure to enter accurate information may render your FOIA request impossible to fulfill.)

Name:

Address:

Address (line 2):

(Optional) Phone Number:

(Optional) Fax Number:

(Required)E-mail Address:

Identify and describe the type of document that you are requesting (please enter a detailed description):

Select a suitable description of yourself and the purpose of the request, in order to help us determine the status for assessing costs. You are:

Affiliated with an educational or non-commercial scientific institution, and this request is made for a scholarly or scientific purpose and not for commercial use.

An individual seeking information for personal use and not for commercial use.

Affiliated with a private corporation, and I am seeking information for use in the company's business.

A representative of the news media, and this request is made for the purpose of news gathering, and not for a commercial use.

Enter media company name:

Select type of media:
Newspaper
Magazine
Television Station
Other
If Other is selected, please offer a brief description and state its purpose:

(Optional) Enter the maximum amount that you are willing to pay: $
(**You will be informed if the estimated costs will exceed this limit.)

(Optional) To request a waiver of all costs, please offer an explanation here:

(Optional) Additional Comments:

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Electronic Freedom of Information Act Request Form

To make an Electronic Freedom of Information Act (E-FOIA) request, please fill in the following information:

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