[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] Federal Bureau of Investigation Records/Information Dissemination Section 170 Marcel Drive Winchester, VA 22602-4843 Subject: Request for FBI Files — Freedom of Information Act (FOIA) Request Dear Sir/Madam, I am writing to formally request access to my FBI files under the provisions of the Freedom of Information Act (FOIA) 5 U.S.C. § 552. I kindly request that you provide me with all information the FBI holds on file related to me, as well as any related individuals or entities. To ensure the accuracy and efficiency of this request, I would appreciate if you could provide me with the following details: 1. Full Name: [Your Full Name] 2. Date of Birth: [Your Date of Birth] 3. Social Security Number (optional): [Your Social Security Number] I understand that there may be fees associated with processing this request. If applicable, please inform me of any applicable fees before proceeding. If you have any questions or need further clarification to process this request, please do not hesitate to contact me at the provided address, email, or phone number mentioned above. Please send the requested files in either electronic or hard copy format, depending on your preference. Kindly include any relevant accession numbers or identifiers to ensure accurate retrieval and expedite the fulfillment of my request. I would like to inform you that this request is not for a commercial purpose but rather for personal use and private research. I assure you that the requested information will not be used for any unlawful activities or purposes. Lastly, as required by law, I certify that the information provided in this request is true, accurate, and complete to the best of my knowledge. I also understand that knowingly and willfully making false statements or misrepresentations in this request may result in penalties by law. Thank you for your prompt attention to this matter. I look forward to receiving the requested information within the statutory timeframe of 20 business days, as established by the FOIA. 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.