UNDER THE PRIVACY ACT & THE FREEDOM OF INFORMATION ACT
Federal Bureau of Investigation
This is a request for records under both the Privacy Act and the Freedom of Information Act., because I would like to get a copy of the records about me at the FBI.
I request a copy of any and all records at the FBI that mention me,
such as documents, reports, memoranda, letters, electronic files, 'See
Also' files, 'Do Not File' files, 'Official & Confidential' files,
'Personal & Confidential' files, photographs, audio tapes & videotapes,
electronic or microphone surveillance (ELSUR or MISUR), or photographic
surveillance, 'June mail', 'Obscene' Files, 'Subversive' Indexes, bulkies,
mail covers, trash covers; and any index citations relating to me or referencing
me ('see also') in other files. Please search all your
My full name is: ________________________________. My date of birth
FOIA/PA statutes provide that even if some of the requested material
is properly exempt from mandatory disclosure, all segregable portions must
be released. If the requested material is released with deletions, please
mark each deletion to indicate the exemption(s) being claimed to authorize
each particular withholding. In addition, I ask that your agency
exercise its discretion to release records which may be
I hereby agree to pay reasonable costs associated with this request
up to a maximum of $30. Please notify me if the fees are expected
NOTE: I WANT ALL FILES, NOT JUST MAIN FILES. DO IT RIGHT THE FIRST TIME OR I WILL SIMPLY APPEAL THE RESULT.
NOTE: My signature below has been certified by a notary public as marked below.