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Freedom Of Information Act (FOIA)
Requester Service Center
 

Sample FOIA Request

[IHS FOIA Staff] or [IHS FOIA Officer Hankie Ortiz]
IHS/Division of Regulatory Affairs
801 Thompson Ave (TMP 450)
Rockville, MD 20852

To: IHS FOIA Staff/or Designate Area FOIA Office

Under the Freedom of Information Act (FOIA), I would like to request a copy of [insert the name of the document or information that you are seeking and please be specific].

NOTE: If you are not sure whether or not the information can be found at the Area level or at the HQ level, that's ok. We can forward this to the Area FOIA Coordinators in that particular Area and coordinate the document retrieval from that Area office.

Thank you!

Your Name
Your Address
Your City, Your State
Your Zip Code
Your Phone Number (FOIA Staff only calls a requester with general questions or when we need to request that the scope is narrowed).