A CITIZEN'S GUIDE ON USING THE FREEDOM OF INFORMATION ACT AND THE PRIVACY ACT OF 1974 TO REQUEST GOVERNMENT RECORDS

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Appendix 1.--Sample Request and Appeal Letters

C. Privacy Act Request for Access Letter

Privacy Act or Freedom of Information Officer
Name of Agency
Address of Agency
City, State, Zip Code

Re: Privacy Act and Freedom of Information Act Request for Access

Dear :

This is a request under the Privacy Act of 1974 and the Freedom of Information Act.

I request a copy of any records [or specifically named records] about me maintained at your agency.

[Optional] To help you to locate my records, I have had the following contacts with your agency: [mention job applications, periods of employment, loans or agency programs applied for, etc.].

[Optional] I am willing to pay fees for this request up to a maximum of $____. If you estimate that the fees will exceed this limit please inform me first.

[Optional] Enclosed is [a notarized signature or other identifying document] that will verify my identity.

[Optional] I also include a telephone number at which I can be contacted during the hours of ________, if necessary, to discuss any aspect of my request.

Thank you for your consideration of this request.