FOIA Request Form

Please use this form for requests for information not currently contained on our site.

* Denotes a required field
Name:*
Organization:
Street:*
City:*	State:*	Zip:*
Phone:*
Fax:
E-mail:

Fee Category:
Commercial Non-Commercial Scientific Institution Educational Institution Representatives of the News Media Other

In the box below be sure to include a clear description of the records you seek. Please include the facility name and address (if known) as well as any additional information that would help us in our search for responsive documents, such as: former facility names, site ID #’s or the program(s) from which you desire to request records.

Fee Information:
Include the amount you are willing to reimburse the agency for, for fees incurred which exceed $25.00 $ * You will be informed if the estimated costs will exceed this limit.

If your browser is not forms-capable, please send a mail message to r1foia@epa.gov.