[Your Name] [Your Address] [City, State, ZIP Code] [Date] Federal Bureau of Investigation Records/Information Dissemination Section 170 Marcel Drive Winchester, VA 22602-4843 Subject: Request for FBI Files — Los Angeles, California Dear Sir/Madam, I hope this letter finds you well. I am writing to request access to my FBI file(s) under the provisions of the Freedom of Information Act (FOIA), 5 U.S.C. § 552. 1. Personal Information: Full Name: [Your Full Name] Date of Birth: [Your Date of Birth] Social Security Number: [Your SSN, if applicable] Current Address: [Your Current Address] 2. Purpose of Request: I am requesting access to my FBI files in order to obtain any records or information that pertain to me in the Los Angeles, California area. Specifically, I am interested in acquiring details related to any investigations, interviews, or incidents involving my name or any aliases used by me within the specified geographical region. 3. Timeframe of Interest: Please provide me with FBI files concerning my activities in Los Angeles, California, during the period between [Start Date] and [End Date]. If available, kindly include any earlier or later records that are relevant to my involvement or presence in the area. 4. Identifying Information: To assist in locating my files accurately, I am providing the following information: — [Include any additional personal identifiers or unique details associated with your activities in Los Angeles, California, such as addresses, phone numbers, affiliations, etc.] 5. Additional Information: Should the FBI locate any records related to my request, I kindly request that any exempt or confidential portions be segregated and released to me. In case any of the requested files contain third-party information, please consider redacting any identifiable details, as necessary, to protect their privacy. 6. Verification of Identity: Enclosed with this letter, you will find a photocopy of my government-issued identification, such as a driver's license or passport. This serves as proof of my identity but is not to be considered as consent to disclose any information about me to third parties. 7. Fees and Processing: In accordance with the FOIA, I am willing to pay reasonable duplication fees for any documents provided in response to my request. However, as this is not a commercial use request, I request a waiver of fees as the disclosure of the requested information is in the public interest and will contribute to a better understanding of government activities. 8. Contact Information: Please direct any correspondence or communications regarding this request to the following address: [Your Preferred Mailing Address] [Your Email Address] [Your Phone Number] I appreciate your attention to this matter and look forward to receiving a response in a timely manner, as required by law. Thank you for your assistance. Sincerely, [Your Full Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.