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[Requester Name]
[Requester Address]
[City], [State] [Zip]
Phone: [Phone]
Email: [Email]
October 9, 2026
FOIA Officer
[Agency Name (e.g., FMCSA)]
[Agency Address]
[City], [State] [ZIP]
Dear FOIA Officer:
Under the Freedom of Information Act, 5 U.S.C. § 552 (or applicable state public records law), I am requesting copies of the following public records:
[Detailed Description of Records Requested]
Please provide these records in an electronic format (e.g., PDF) if possible. If the requested records are available online, please direct me to the exact URL where they can be downloaded.
Fee Agreement: I am willing to pay reasonable fees for search, review, and duplication costs up to $50. If the estimated fees exceed this amount, please contact me prior to processing the request so that I may evaluate whether to modify my request.
If my request is denied in whole or in part, please justify all deletions or withholdings by reference to specific FOIA exemptions. I expect you to release all segregable portions of otherwise exempt material. I also reserve the right to appeal any decision to withhold any information or to deny a waiver of fees.
Thank you for your assistance and prompt attention to this matter. Please respond within the statutory timeframe of twenty (20) working days.
Sincerely,
[Requester Name]