FOIA Request Form

Please select which bureau or office you would like to receive your request:
Select One Bureau of Land Management Bureau of Reclamation Fish & Wildlife Service Minerals Management Service National Park Service Office of Inspector General Office of the Secretary Office of Surface Mining Office of the Solicitor U.S. Geological Survey

Dear FOIA Officer:

This is a request filed under the Freedom of Information Act.

The records description area is limited to 5,000 characters. If you require more space to identify what you are seeking, you may file a request with the appropriate bureau/office directly via the electronic mailbox which accepts attached documents (see www.doi.gov/foia/contacts.html for mailbox addresses).

Please describe the record(s) you are seeking so that an employee familiar with the subject area of the request may locate the record(s) with a reasonable amount of effort. Please include descriptive information, time frame to be searched, etc. Since most Interior records are not retained permanently, the more information provided, the better opportunity there is to determine if the records still exist and where. In order for a record to be considered subject to your FOIA request, it must be in the bureau/office's possession and control at the time the bureau/office begins its search for responsive records.

Are you asking for expedited processing of your request?
No   Yes
If so, why?

Are you filing a request on behalf of another party?
No   Yes
If so, which party?

Fees and Waivers

In order to help to determine my status to assess fees, you should know that I am:

Are you willing to pay for the processing of your FOIA request?
No   Yes
If so, how much?

Please note: If you are not willing to pay, DOI may not be able to
process your request depending on the fees involved. The fee schedule is located here.

Are you requesting a statutory fee waiver?
No   Yes
If so, please justify (see below).

Waiver Justification: If you requested a fee waiver, explain why it is justified. The Fee/Waiver Justification area is limited to 5,000 characters. If you require more space to identify what you are seeking, you may file a fee waiver request with the appropriate bureau/office directly via the electronic mailbox which accepts attached documents (see www.doi.gov/foia/contacts.html for mailbox addresses).

Thank you for your consideration of my request.

Sincerely,

Your Name: (Required)
Mr.   Mrs.   Miss   Ms.  

How to Contact You:

Our form does not automatically collect your email address. Please provide your mailing address, and if desired, your email address. Please note that if you are asking for copies of agency documents, you must supply an address to which they can be mailed. Your email address is not sufficient for this purpose.

Street Address:  

City:    State:    Zip:  

Country:  

Home Address:      Business Address:  

Your E-mail Address:  

Name of Organization:  

Phone No. (where you can be reached during business hours):  

Fax No.: