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FOIA Request Form

Your Name

Organization

Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone

Fax

Your Email

Reasonably Describe Records

Describe the specific record(s) you seek with sufficient detail that a knowledgeable official of the activity may locate the record with a reasonable amount of effort. Such detail should include: dates, titles, file designations, and offices to be searched.Since most DOE records are not retained permanently, the more information that you provide, the better the opportunity there is to determine if the records involved still exist and where. The FOIA clearly states that records must exist at the time the request is submitted.

Description

Specify preferred form or format

Type of Requester

Select a description of yourself and the purpose of the request to help determine your category for assessing fees

An individual seeking information for personal use and not for commercial use.

Affiliated with an educational or noncommercial scientific institution, and this request is made for scholarly or scientific purpose and not for commercial use.

Affiliated with a private corporation and seeking information for the use in the company's business.

A representative of the news media and the request is made as part of news gathering and not for commercial use.

Select a description of yourself and the purpose of the request to help determine your category for assessing fees

If requester is associated with media, which type

Newspaper

Magazine

Television Series

Other…

Enter other…

Fees

I agree to pay all applicable fees.

I request a waiver or reduction of fees.

I agree to pay up to a specified amount for fees. Enter amount $

Enter other…

The subject of the request: Whether the subject of the requested records concerns 'the operations or activities of the government.'

The informative value of the information to be disclosed: Whether the disclosure is 'likely to contribute' to an understanding of government operations or activities.

The contribution to an understanding by the general public of the subject likely to result from disclosure, taking into account your ability and intent to disseminate the information to the public in a form that can further understanding of the subject matter.

The significance of the contribution to public understanding: Whether the disclosure is likely to contribute 'significantly' to public understanding of government operations or activities.

The existence and magnitude of a commercial interest: Whether the requester has a commercial interest that would be furthered by the requested disclosure, and, if so

The primary interest in disclosure: Whether the magnitude of the identified commercial interest of the requester is sufficiently large, in comparison with the public interest in disclosure, that disclosure is 'primarily in the commercial interest of the requester.'

If my request for a waiver or reduction in fees is denied, I agree to pay up to (enter amount) $ to process my request.

I request expedited processing of the request and provide a justification below. I believe a compelling need exists to warrant expedited processing because there is:

an imminent threat to the life or physical safety of an individual exists

an urgency to inform the public concerning actual or alleged Federal Government activity exists (this option available ONLY for requesters primarily engaged in disseminating information).

Please provide your specific justification for expedited processing

Enter other…

FOIA/Privacy Act

Vulnerabilities Disclosure Program