U.S. Bureau of Prisons Electronic Freedom of Information Act Request Form
CONTACT INFORMATION
Today's Date:
Requestor Name:
Address1:
(Optional) Address2:
City:
Zip Code:
E-Mail:
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(Optional) Facsimile:
DESCRIPTION OF RECORDS SOUGHT I request that a copy of the following documents/information be provided to me:
ASSESSMENT OF FEES To help us determine your fee status, check ONE of the following requestor categories:
EXPEDITED PROCESSING I request expedited processing of my request and have described in detail why I believe my request warrants it:
Please describe your justification for expedited processing.
PAYMENT OF FEES I am willing to pay $ or up to $25 between $25 and $250 over $250 nothing in search, duplication, and processing fees to receive records responsive to this request. If I agree to fees, I understand that I will be notified before fees are incurred ONLY where fees apply and are expected to exceed the amount I've indicated.
Payment must be made via check or money order, payable to the Treasury of the United States.
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 our 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: