FOIA Request Form

FOIA Request
(I), (We), are hereby requesting that (I) (We) *
Will the records received or requested or the information derived thereof be used in any form of sale, resale, or solicitation or advertisement for sales or services? *
I understand that if I request that the records be copied, I may be charged a fee due in full before the copies are made. *

Requester(s)

Address *
Address
City
State/Province
Zip/Postal