Subject:

Salutation:

* First Name:

Middle Initial:

* Last Name:

Company/Organization:

Position Title:

* Address 1:

Address 2:

* City:

* State:

* Zip Code:

* Daytime phone number:

Fax:

* Email address:

Each request should describe the particular record to the fullest extent possible. The request should describe the subject matter of the record, and if known, indicate where it was created, when it was created, and the person or office that created the record.

* Describe the type(s) of document(s) you are requesting:

Maximum dollar amount you are willing to pay for the request. You will be notified if your fees exceed $25 or the maximum amount you are willing to pay.

* Max. dollar amount: $

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

Your specific justification for expedited processing: