Request Under Freedom of Information Act REQUEST UNDER FREEDOM OF INFORMATION by ReadyBuiltForms


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									REQUEST UNDER FREEDOM OF INFORMATION ACT Date: ___________________________ To: _____________________________

Dear ______________________:

Pursuant to the Federal Freedom of Information Act, I hereby am requesting the release and disclosure of any information that you may have concerning me and that may be kept in any of your files. Please forward this information directly to me at the address below. Thank you in advance for your cooperation.

In the presence of:

______________________________ Witness _______________________________ Name (Printed or Typed) _______________________________ Other Known Names _______________________________ Address _______________________________ _______________________________ _______________________________ Social Security No. _______________________________

_______________________________ Signature

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