Court Services and Offender Supervision Agency Online FOIA Request Form

You may not need to make a FOIA request. You may be able to obtain the information via the World Wide Web without making a request. Many documents are available on the Court Services and Offender Supervision Agency's or other websites. Also you may want to look at our electronic reading room.

If you have visited the reading room and were not able to find the information you are looking for, you may need to make a FOIA request. Please follow the guidelines below so we can respond to your request as quickly as possible.

If you are requesting records pertaining to yourself or another individual, you must submit a written request. Since this type of request is protected by the Privacy Act, you should describe the records sought to include the original, notarized authorization or self-sworn authorization pursuant to 28 § U.S.C. 1746 from the subject of the records. You should also provide us with the date of birth, social security number and DCDC or PDID number. Also, your authorization should be dated within three months of your request. See: CSOSA Guide to FOIA.

Electronic FOIA Request Form

CONTACT INFORMATION

Today's Date:

Requestor's Name:

Address1:

(Optional) Address2:

City:

State:

Zip Code:

E-Mail:

(Optional) Telephone:

(Optional) Facsimile:

DESCRIPTION OF RECORDS SOUGHT

I request that a copy of the following documents/information be provided to me:

ASSESSMENT OF FEES

To help us determine your fee status, check ONE of the following requestor categories:

an individual seeking information for personal use
affiliated with a private corporation and seeking information for use in the company's business
affiliated with an educational institution and seeking information for a scholarly purpose
affiliated with a noncommercial scientific institution and seeking information for a scientific purpose
a representative of the news media seeking information as part of a news gathering effort (if media, please identify organization with which you are affiliated: )

EXPEDITED PROCESSING

I request expedited processing of my request and have described in detail why I believe my request warrants it:

no compelling need exists to warrant expedited processing of this request
an imminent threat to the life or physical safety of an individual exists
an urgency to inform the public concerning actual or alleged Federal Government activity exists (this option available ONLY for requestors primarily engaged in disseminating information)

Please describe your justification for expedited processing.

PAYMENT OF FEES

I am willing to pay $ or

in search, duplication, and processing fees to receive records responsive to this request. If I agree to fees, I understand that I will be notified before fees are incurred ONLY where fees apply and are expected to exceed the amount I have indicated.

Payment must be made via check or money order, payable to the Treasury of the United States.

FEE WAIVER / REDUCTION IN FEES

The Freedom of Information Reform Act of 1986 provides that documents are to be furnished without any charge or at a charge reduced below the fees established if disclosure of the information is in the public interest because it is likely to contribute significantly to public understanding of the operations or activities of the Government and is not primarily in the commercial interest of the requestor.

To evaluate whether the statutory standard authorizing a fee waiver or reduction has been met, we will need additional information upon which to base our determination. If you would like to request a fee waiver, please provide additional information as justification for a fee waiver and/or reduction in fees: