Freedom of Information Act Request
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Request
*
-
Month
-
Day
Year
Date
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
I request that the following documents be provided to me:
*
Select one that best describes you the requester:
*
a representative of the news media (newspaper, magazine, television station, etc.), and this request is made as part of news gathering and not for a commercial use
affiliated with an educational or noncommercial scientific institution, and this request is made for a scholarly or scientific purpose and not for a commercial use
an individual seeking information for personal use and not for a commercial use
affiliated with a private corporation and am seeking information for use in the company’s business
Other
Additional Instructions
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