FOIA Request Form

Contact Information

Association

Are you representing the interest of another individual? Yes No

First-party request means a request by an individual for records pertaining to that individual, or an authorized representative acting on such an individual's behalf.

Fee Category

Type of requester: Commercial Non Commercial Media Other Use

Commercial use means a use or purpose that furthers a commercial, trade, or profit interest of the requester or the person or entity on whose behalf the request is made.

Fee category means one of the four categories established by the FOIA to determine whether a requester will be charged fees for search, review, and duplication. The categories are: commercial use requests; non-commercial scientific or educational institutions requests; news media requests; and all other requests. Fee categories are further explained in the Department of Health and Human Services FOIA regulations at §5.53.

Request

FOIA request means a written request that reasonably describes the records sought.

Requested format of responsive records: Paper Electronic Other

Fees

Please read before selecting: Fee waiver means the waiver or reduction of fees if a requester is able to demonstrate that certain standards set forth in the FOIA and this part are satisfied, including that disclosure of the records is in the public interest because it is likely to contribute significantly to public understanding of the operations or activities of the government and is not primarily in the commercial interest of the requester.

Are you willing to pay fees? Yes No

Are you requesting a fee waiver? Yes No

Expedited Processing

Please read before selecting: Expedited processing means the process set forth in the FOIA that allows requesters to request faster processing of their FOIA request, if they can demonstrate a specific compelling need.

Are you requesting expedited processing? Yes No