Serving the people of Alaska, Idaho, Oregon, Washington and Native Tribes

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On-Line E-FOIA Request Form

• The Agency is required to respond to requests for RECORDS only.
• Do not use FOIA to submit questions regarding environmental issues.
• Region 10 will process and provide records in the possession of Region 10.
• If you wish to receive records located in EPA Headquarters or in another Region, please submit your request there.

HQ and Regional FOIA Contacts

Requester Name :
Company Name :
Address 1 :
Address 2 :
City:
State:	Zip:
Email Address:
Telephone No:
Fax No:
*I am willing to pay a maximum fee of:

Records Requested (Please provide a complete description of records you are seeking):

*If you wish to request a fee waiver, please also complete the Fee Waiver Request Form after you've completed/SEND your FOIA Request Form.
Fee Waiver Request Form
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