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Sample Request Form for the US
Dear FOIA Coordinator,
This request for records is made under the federal Freedom of Information Act, 5 U.S.C. sec. 552.
As a coordinator for _________ (name of organization you represent), in ______ (your city & state), I am making this request. ____________ (name of organization you represent) is a non-profit organization based in ________ (your city & state) dedicated to educating the public about issues concerning animal rights. _______ (name of organization you represent) may be hereafter be referred to as "the requester".
This request is directed at obtaining copies of: (list documents you are requesting)
If any of the records or documents described above are considered to be exempt from release, please segregate and provide access to non-exempt portions, and justify deletions by reference to specific exemptions in the Freedom of Information Act.
The requester is prepared to pay all reasonable search and duplication fees up to an initial amount of twenty-five dollars (25.00). However, the Freedom of Information Act provides that: "Documents shall be furnished without cost or at a reduced charge where the agency determines that waiver or reduction of the fee is in the public interest because furnishing the information can be considered as primarily benefiting the general public," (See 5 U.S.C., sec. 552 (a) (4) (9A).)
The requester believes that this request satisfies the criteria for fee waiver or reduction: 1. (name of your organization) is a non-profit, public interest group whose tax-exempt number is (the IRS tax-exempt number of the organization you represent); 2. The use of live animals in _________ (issue you are investigating i.e. research, hunting, etc.) has historically been a matter of wide public interest; 3. The disclosure of the requested records would not be to the primary benefit of the requester, but would be to the primary benefit of the general public. _____________ (name of the organization you represent) has demonstrated its ability to disseminate to the general public the information it acquires. This is achieved by reliable media contacts, and a nationally distributed activist base.
Therefore, the requester asks that any search or duplication fees in this case be waived or reduced. If the waiver or reduction is denied, and fees exceed twenty-five dollars (25.00), please notify the requester by telephone before the request is processed so the requester may decide whether to pay the higher fee or to appeal the denial of the request for waiver reduction.
I may be reached during business hours at __________ (your phone number). If you have any questions regarding any aspect of this request, please contact me by telephone rather than by mail in order to expedite timely disclosure.
Thank you for your assistance. I will look forward to receiving your reply within ten (10) business days as is required by law.
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