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Freedom of Information and Privacy Act Request

To:______________________________

_______________________________

_______________________________


This letter constitutes my formal request for information pursuant to the provisions of the Freedom of Information and Privacy Acts, 5 USC 552.

I am requesting copies of all information maintained by your agency that pertain to myself as described below:

Full Name: ____________________________________________________________

Current Address: ______________________________________________________

Social Security No.: _____________________

Date and Place of Birth: ___________________________________________________

Former Addresses (use reverse if more space needed):





Date:____________ Signature:__________________________

I, __________________________ a Notary Public in and for the county (city) and state of __________________________ hereby certify that on the ____ day of _______, 19__, before me personally appeared __________________________, who is known by me to be the identical person whose name is subscribed to, and who signed and executed the foregoing instrument. In witness thereof, I have hereunto set my hand and official seal this day and year above.

My commission expires: ____________

Signature of Notary ________________________________________________

Printed: _________________________________________

Notary Seal:___________________

INSTRUCTIONS

To find out if you have an FBI (or any federal agency) file and obtain a copy of it, fill out the above information, have this form notarized (you must sign it in front of a notary and provide the notary sufficient identification), and mail to the FBI (or other agency). A request should be sent to each field office that might have files as well as FBI Headquarters. Make a copy of your signed and notarized form for your records. Please note that it is a criminal offense to represent yourself as another in attempt of obtaining information.

THIS FORM IS A PUBLIC SERVICE OF GLEN L. ROBERTS
[HTML VERSION BY RJ]

You are encouraged to copy this form and distribute to others. Glen L. Roberts is editor of Full Disclosure. Glen L. Roberts, PO Box 1533, Oil City, PA 16301. Email: glr@ripco.com.
Web: http://pages.ripco.com:8080/~glr/glr.html

[For more help get FREE FOIA-Ware!] and here are all the mailing addresses you need

FBI
P O Box 366269
San Juan PR 00936
FBI
JFK Federal Bldg Rm. 900
Boston MA 02203
FBI
150 Court St Fifth Fl
New Haven CT 06510
FBI
1 Gateway Market St 22nd Fl
Newark NJ 07101
FBI
26 Federal Plaza
New York NY 10278
FBI
James F Foley Bldg. 5th Fl
445 Broadway
Albany NY 12201
FBI
111 W Huron
Buffalo NY 14202
FBI
P O Box 1315
Pittsburgh PA 15213
FBI
William Green Bldg
Sixth & Arch St 8th Fl
Philadelphia PA 19106
FBI DC Field Office
1900 Half St SW
Washington DC 20305
FBI Headquarters
J Edgar Hoover Bldg
10th & Pennsylvania Ave.
Washington DC 20535
FBI
7142 Ambassador Rd
Baltimore MD 21207
FBI
111 Green Court Rd
Richmond VA 23228
FBI
P O Box 3828
Norfolk VA 23514
FBI
6010 Kenley Lane
Charlotte NC 28217
FBI
Box 137
Columbia SC 29202
FBI
77 Forsyth St SW
Atlanta GA 30303
FBI
220 E Bryan St
Savannah GA 31401
FBI
Box 8928
Jacksonville FL 32239
FBI
16320 NW 2nd Ave.
Miami FL 33169
FBI
Box 172177
Tampa FL 33672
FBI
2121 Bldg #1400
>Birmingham AL 35203
FBI
P O Box 2128
Mobile AL 36652
FBI
710 Locust St #600
Knoxville TN 37902
FBI
Clifford Davis Fed Bldg #841
167 N Main
Memphis TN 38103
FBI
100 W Capitol #1553
Jackson MS 39269
FBI
600 Martin Luther King Jr. Pl.
Louisville KY 40202
FBI
1240 E 9th Rm. 3005
Cleveland OH 44199
FBI
Box 1277
Cincinnati OH 45201
FBI
Box 1186
Indianapolis IN 46206
FBI
P O Box 2118
Detroit MI 48231
FBI
Box 2058
Milwaukee WI 53201
FBI
111 Washington St #1100
Minneapolis MN 55401
FBI
P O Box 3007
Butte MT 59702
FBI
219 S Dearborn St #905
Chicago IL 60604
FBI
P O Box 3646
Springfield IL 62708
FBI
1520 Market #2704
Saint Louis MO 63103
FBI
811 Grand #300
Kansas City MO 64106
FBI
P O Box 541090
Omaha NE 68154
FBI
1250 Poydras #2200
New Orleans LA 70113
FBI
P O Box 21470
Little Rock AR 72221
FBI
P O Box 54511
Oklahoma City OK 73154
FBI
1801 N Lamar #300
Dallas TX 75202
FBI
2500 E T. C. Jester
Houston TX 77008
FBI
Box 1630
San Antonio TX 78296
FBI
7000 E San Antonio #C600
El Paso TX 79901
FBI
P O Box 1229
Denver CO 80201
FBI
125 S State #3203
Salt Lake City UT 84138
FBI
201 E Indianola #400
Phoenix AZ 85012
FBI
301 Grand NE
Albuquerque NM 87102
FBI
700 8th Charleston Blvd
Las Vegas NV 89104
FBI
11000 Wilshire #1700
Los Angeles CA 90024
FBI
880 Front St #6S31
San Diego CA 92188
FBI
450 Golden Gate Ave.
San Francisco CA 94102
FBI
P O Box 13130
Sacramento CA 95813
FBI
300 Ala Moana #4307
Honolulu HI 96850
FBI
P O Box 709
Portland OR 97207
FBI
915 2nd Ave. #710
Seattle WA 98174
FBI
Box 100560
Anchorage AK 99510


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