


Date:

To:  FOIA/PA Unit
Federal Bureau of Investigation

This is a request under the Freedom of Information Act.

	I request a complete and thorough search of all filing 
systems and locations for all records maintained by your agency 
pertaining to and/or captioned: 
_____________________________________________________
[describe records desired and/or insert full and
_____________________________________________________ 
formal name]
_____________________________________________________

_____________________________________________________

including, without limitations, files and documents captioned, or 
whose captions include

_____________________________________________________ 
[insert changes in name, commonly used names, 
_____________________________________________________
acronyms, sub-groups, and the like]
_____________________________________________________

_____________________________________________________

	This request specifically includes "main" files and "see 
references," including, but not limited to numbered and lettered 
sub files, "DO NOT FILE" files, and control files. I also request 
a search of the ELSUR Index,a nd the COINTELPRO Index. I request 
that all records be produced with the administrative pges.

	I wish to be sent copies of "see reference" cards, 
abstracts, search slips, including search slips used to process 
this request, file covers, multiple copies of the same documents 
if they appear in a file, and tapes of any electronic 
surveillances.

	I wish to make it clear that I want all records in you 
roffice "identifiable with my request," even though reports on 
those records have been sent to Headquarters and even though 
there may be duplication between the two sets of fils. I do not 
want just "interim" documents. I want all documents as they 
appear in the "main" files and "see references" of all units of 
your agency.

	If documents are denied in whole or in part, please 
specify which exemption(s) is(are) claimed for each passage or 
whole document denied. Please provide a complete itemized 
inventory and a detailed factual justification of total or 
partial denial of documents. Give the number of pages in each 
document and the total number of pages pertaining to this 
request. For "classified" material denied pleae include the 
following information: the classification (confidential, secret 
or top secret); identity of the classifer; date or event for 
automatic declassification, classification review, or down-
grading; if applicable, identity of official authorizing 
extension of automatic declassification or review; and if 
applicable, the reason for extended classification.

	I request that excized material be "blacked out" rather 
thatn "whited out" or cut out and that the remaining non-exempt 
portions of documents will be released as provided under the 
Freedom of Information Act.

	Please send a memo (copy to me) to the appropriate units 
in your office to assure that no records related to this request 
are destroyed. Please advise of any destruction of records and 
include the date of and authority for such destruction.

      As I expect to appeal any denials, please specify the 
office and addressto which an appeal should be directed.

      I believe my request qualifies for a waiver of fees since 
the release of the requested information would primarily benefit 
the general public and be "in the public interest."

      I can be reached at the phone listed below. Please call 
rather than write if there are any questions or if you need 
additional information from me. 

      I expect a response to this request within ten (10) 
working days, as provided for in the Freedom of Information Act.

Sincerely,

name: _______________________________________________
address: ____________________________________________
.          __________________________________________
telephone: __________________________________________
signature: __________________________________________


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