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I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]
Dear Public Official: Pursuant to the [your state's public records law], I would like to obtain a copy of the following public records: [Be sure to describe the records sought with enough detail, or as the statute indicates, for the public agency to understand the request and be able to respond.]
How to Make a California Public Records Act Request: a 10-Step Guide Decide what information and records you really want to request. ... Try to figure out what agency has those records. ... Optional ? try to figure out whether they have to give you the records you want. ... Write the request. ... Send the request. ... Wait for a response.
Make your request as specific as possible Avoid vague or general statements. Try to include details such as dates and names, if you can. You may want to include the reason why you are asking for the information. This may help you get what you need.
Sample FOIA Request Letter Dear FOIA Officer: This is a request for records under the Freedom of Information Act [or Privacy Act]. I am requesting [please describe the documents you seek in as much detail as possible. Include any file names or file numbers, if applicable.
Criteria It must be in writing and signed by the person making the request; It must state that the request is being made pursuant to the FOIA; It must reasonably describe the records being requested; It must state the category of the requester for fee purposes (i.e., commercial, media, educational, all other);
The Hawaii Uniform Information Practices Act, established in 1975, is the law that governs access to public records. Records include all materials maintained in government offices and agencies including all records whether they be written, auditory, visual, electronic, or other physical form.
Dear Sir/Madam: This is a request under the Freedom of Information Act. I request that a copy of the following document(s) be provided to me: [identify the documents as specifically as possible. i.e. all investigative records concerning ABC company, located at 555 Main Street, City, State, in the years 1997-1999.