Please complete all required fields below. Under the Freedom of Information Act, 5 U.S.C. section 552, I am requesting the following information * Name * Office Street/Mailing Address * Address * Address 2 City State Zip Country Phone Fax Email * Fees (check one) If there 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 $50, which I agree to pay. If you deny any or all of this request, please cite each specific exemption you feel justifies the refusal to release the information and notify me of appeal procedures available to me under the law. I would prefer to be contacted by (check one) Telephone Fax E-mail Asterisks (*) indicate required information. Submit Having problems submitting this form? You can provide this information via email at info@acus.gov
