Freedom of Information Act (FOIA) Request Form
Directorate of Human Resources, ASD
ATTN: IMWE-RLY-HRA (FOIA Office)
210 Custer Avenue, Room 006
Fort Riley KS 66442
Please complete this form as completely as possible in order to file a FOIA request.
Last Name:___________________________ First Name:_________________ MI:___ Rank:__________
Address 1:_____________________________________________________________
Address 2:_____________________________________________________________
City:____________________________ State:_____________ Zip:_______________
Phone Numbers: Home: (______) ______-_______ Cell (______) ______-_______
Email Address (optional):________________________________________________
If requesting a Military Police Report, enter MPR Number, if known, or the
approximate date of the incident:___________________________________________________________
Describe specific record(s) you seek with enough detail so that a knowledgeable official of the activity may
locate the record with a reasonable search effort. Please include approximate date(s) of incident(s), date of
document creation, contract number, MPR number, etc.
The Freedom of Information Act is not an investigative arm, nor can it respond to requestor's
questions. The FOIA only provides you the right to request EXISTING Federal Government
records and documents. Documents must exist and will not be created to satisfy a request or
answer a question posed by a requester.
Select one of the categories below into which your request falls, in order to determine fee status.
Representative of the news media affiliated with _____________________________________________
This request is made as a part of a news gathering effort and not for commercial use.
Affiliated with an educational or noncommercial scientific institution. This request is
made for a scholarly or scientific purpose and not for commercial use.
An individual seeking information for personal use and not for commercial use.
Affiliated with a private corporation and am seeking information for use in the
company's business.
NEXT PAGE