Electronic FOIA Request Form

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eFOIA Request Form

To make an Electronic FOIA (E-FOIA) request, please fill in the following information.

Failure to enter accurate information may render your E-FOIA request impossible to fulfill. This form is submitted using non-secured email.

All required fields are denoted by asterisk (*)

Section 1: Please provide the following contact information

First name*
Last name*
Title
Organization
Street address*
Address (cont.)
City*
State/Province*
Zip/Postal code*
Country*
Daytime Phone*
Cell Phone
FAX
E-mail*

Section 2: Enter description of your EFOIA request*

Section 3: Select a suitable description of yourself and the purpose of the request. This will assist us in determining your status to assess costs:*

	Affiliated with an educational or noncommercial 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 a commercial use.

	Affiliated with a private corporation and am seeking information for use in the company's business. Enter Company Name:

	A representative of the news media and this request is made part of news gathering and not for a commercial use. Enter media company name: Select type of media: Newspaper Magazine Television Station Other Please specify:

Other Please specify:

Section 4: Enter the maximum amount that you are willing to pay as fees for researching and copying your request. $
(You will be informed if the estimated cost will exceed this limit.)

If you have not entered any amount in the box above, please provide an explanation for your request to waive all costs.

Section 5: Additional comments :