SAMPLE REQUEST UNDER FREEDOM OF INFORMATION ACT
Date: 2024
To:
[name of individual/company]
[address]
[city, state, zip]
Attention: [name if known]
Dear [Mr./Ms. _____________________],
This request is made pursuant to the Federal Freedom of Information Act. I hereby request disclosure of any information about me that may be maintained in your files, to the extent disclosure is required by law.
Please direct your response to:
__________________________________
__________________________________
__________________________________
Thank you for your assistance.
Signed in the presence of:
__________________________________
Witness
__________________________________
Signature
[full name]
__________________________________
Other names known by:
__________________________________
__________________________________
[address]
__________________________________
__________________________________
__________________________________
__________________________________
[social security number]