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2. Freedom of Information Act Fee Waiver Request Form
4. Company Name (if applicable) or Organization (if any)*
5. Phone Number*
7. First Name*
8. Last Name*
9. E-mail Address*
11. Address*
12. City*
13. State*
14. Zip Code*
16. Fee Waiver Request
    Specifically describe the reason for your request of fee waver.
20. I understand that the FOIA Coordinator has the sole judgement in the decision of the fee waiver process, please refer to the FOIA Procedures and Guidelines for more information.
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22. Submit

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