FOIA Request Form

* - denotes required fields

*First Name:

*Last Name:

*Address:

Address 2:

*City:

*State:

*Zip:

Phone:

*Email:

Organization:

*What you're looking for:

In the area below, clearly describe the IMLS-related documents that you would like. Include identifying material, such as names, places, and the period of time(i.e., dates, year, etc.) about which you are inquiring.

*Fees - Type of Request:

There is no initial fee to make a FOIA request, and in many cases no fees are charged. However, agencies are authorized by law to recover the direct costs of providing information to a FOIA requester. For purposes of fees only, the FOIA divides requesters into three categories:
(please select one)

Commercial Use Requesters
News Media, Educational or Scientific Requesters
All Other Requesters

*Please select one:

If the are any fees for searching or copying these records, please inform me before filling my request
Please send me the records without informing me of the cost unless the fees exceed

$, which I agree to pay.

Additional Information:

Please use this field to enter any additional information you would like to submit along with your request.

*Contacted By:

I would prefer to be contacted by: (select one)
TelephoneE-mailMail