Contact NIEHS Freedom of Information Act (FOIA)

Submission Instructions

You may complete the online form below or make a request by mail or fax.

FOIA Coordinator, NIEHS
P.O. Box 12233
Research Triangle Park, North Carolina 27709
Fax: (919) 541-9813

* All fields marked with an asterisk are required and must be completed for submission.
Title:
First Name: *
Middle Initial:
Last Name: *
Organization/Affiliation: * Enter "Individual" if not submitting for an organization.
Address 1: *
Address 2:
City: *
State/Province: *
Country if other than USA:
Postal Code: *
Daytime Telephone Number: *
Fax Number:
Email Address:
Description of the documents requested * Although you do not have to give a document's title, you should identify the documents that you want as specifically as possible to increase the likelihood that the agency will be able to locate them. Any facts you can furnish about the time, authors, events, subjects, and other details of the documents will be helpful to NIEHS in deciding where to search and in determining which records respond to your request, saving you and the government time and money. Please list below, as clearly as possible, the name of the document(s), the type of document(s), and any other specifics you may have that will identify the documents you seek.

Identify the date range of the documents:	Start Date: , End Date: ,
Payment of fees Please check the amount you are willing to reimburse the agency for fees incurred which exceed $25.00.	Up to $100.00 Up to $250.00 Up to $500.00
If over $500.00, or between the limits listed above, please enter your reimbursement limit:	$
Please enter any comments concerning payment :

111 T.W. Alexander Drive, Research Triangle Park, NC USA 27709

This page URL: http://www.niehs.nih.gov/about/orgstructure/foia/contact.cfm
NIEHS website: http://www.niehs.nih.gov/
Email the Web Manager at webmanager@niehs.nih.gov

Last Reviewed: December 18, 2008