Submit a FOIA Request

* All Fields marked with an asterisk are required and must be completed for submission.

Online Request Form

Title: First Name:* Middle Initial: Last Name:* Organization/Affiliation:* Address 1:* Address 2: City:* State:* Zip Code:* Daytime Phone Number:* Fax Number: Email Address:*

Description of the Documents Requested

Although you do not have to give a document’s title, you should identify the documents that you want as specifically as possible to increase the likelihood that the agency will be able to locate them. Any facts you can furnish about the time, authors, events, subjects, and other details of the documents will be helpful to the agency in deciding where to search and in determining which records respond to your request, saving you and the government time and money.

Please list, as clearly as possible, the name of the document(s), the type of document(s), and any other specifics you may have that will identify the documents you seek.

Identify the Date Range of the Documents:

Start Date: End Date:

Expedited Processing

Designate only if your request meets one of these categories.

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 requestors primarily engaged in disseminating information). Not Applicable (N/A)
Please describe your justification for expedited processing:

Payment of Fees

Indicate the amount you are willing to reimburse the agency for fees incurred:

Fee Waiver/Reduction in Fees

The Freedom of Information Reform Act of 1986 provides that documents are to be furnished without any charge or at a charge reduced below the fees established if disclosure of the information 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 requestor.

To evaluate whether the statutory standard authorizing a fee waiver or reduction has been met, we will need additional information upon which to base or determination. If you would like to request a fee waiver, please provide additional information as justification for a fee waiver and/or reduction in fees:

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Page last reviewed: May 25, 2016
Page last updated: May 25, 2016
Content source:
- Centers for Disease Control and Prevention, Freedom of Information Act (FOIA)