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Submit a FOIA Request

Submit a FOIA Request

Make a request by completing the form below. You may also contact us by mail or fax.

Title

First name *
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Middle initial

Last name *
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Organization/Affil. *
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Address 1 *
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Address 2

City *
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State *
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Zip code *
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Please enter a valid zip code

Daytime phone 000-000-0000 *
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Please enter a valid phone number

Fax number

Email address
Please enter a valid email address

Description of the Documents Requested

Although you do not have to give a document's title, you should identify the documents that you want as specifically as possible to increase the likelihood that the agency will be able to locate them. Any facts you can furnish about the time, authors, events, subjects, and other details of the documents will be helpful to the agency in deciding where to search and in determining which records respond to your request, saving you and the government time and money.

Please list, as clearly as possible, the name of the document(s), the type of document(s), and any other specifics you may have that will identify the documents you seek.

Date Range

Start date (mm/dd/yyyy)
Please enter a valid date

End date (mm/dd/yyyy)
Please enter a valid date

Document Description *

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Payment of fees

Select the amount you are willing to reimburse the agency for fees incurred which exceed $25.00.

$26.00 - $100.00

$101.00 - $250.00

$251.00 - $500.00

Receipt of Documents

How would you like to receive your documents?

Paper

Email (if documents are more than 5MB. they will be provided on a CD.)

Attachments

File Uploading Guidelines

The HHS-OIG will only accept these file types electronically: .xls, .doc, .pdf, .jpeg, .gif, .png, .tiff

All other file types - including audio, video and ZIP files - are not accepted.

Additionally, there are size limits: the maximum size allowed for an individual file is 10MB, the size of all uploaded files combined cannot exceed 10MB, and the maximum number of files that can be uploaded is five.

Add files...

Once your selected file(s) appear below, you MUST press the START UPLOAD button before you click on the SUBMIT NOW button in order for your attachments to be sent to us electronically.

Files and total file size may not exceed 10 MB.

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Mail or Fax Your Request

OIG Freedom of Information Officer
Cohen Building, Suite 5527
Department of Health and Human Services
330 Independence Ave, S.W.
Washington, D.C. 20201
Fax: 202-708-9824

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