FOIA Request Form

WVHEPC Freedom of Information Act (FOIA) Request Form

Comments

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

Email(Required)

Under my rights through FOIA, I hereby request the following (please be as specific as possible):(Required)

I am requesting these items for the following dates and/or timeframe:(Required)