U.S. Department of Justice
Federal Bureau of Investigation
FOIA Request Form
Requester's Name:
Address:
Phone Number (optional):
Fax Number (optional):
E-Mail (optional):
Subject:
In order to help to determine status to assess fees, select:
O An individual seeking information for personal use
O Affiliated with an educational or noncommercial institution, and this request is made for a scholarly purpose
O Affiliated with a private corporation and seeking information for use in the company's business
O A representative of the news media and this request is made part of news gathering and not for commercial use
Enter media name:
Select type of Media:
n Newspaper
C Magazine
Television Station
C Other
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Purpose:
Enter maximum amount you are willing to pay: $
Explanation for a request for a waiver of fees:
Additional Comments:
[ PRINT This form cannot be used for Privacy Act requests or requests for information about a third party. SEND 1
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