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Get Us Doj Omb 1115 0087 Form

Dom of Information or Privacy Act requests is acceptable. START HERE Please type or print and read instructions on the reverse before completing this form. 1. Type of Request: (Check appropriate box) Freedom of Information Act (FOIA) (Complete all items except 7) Privacy Act (PA) (Item 7 must be completed in addition to all other applicable items) Amendment (PA only, Item 7 must be completed in addition to all other applicable items) 2. Requester Information: Name of Requester: Daytime Tele.

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