FOIA

Freedom of Information Act Form

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Date *

Format date: (00/00/00)

First, Last Name *

Company/Organization

Address *

Address Line 1

City, State, Zip

Phone *

Email *

I'm requesting *

• Document copies
• In person review
• Electronic copies via secure email

Department if known

Staff if known

Description of documents requested

Submit

By submitting this form you are agreeing to the following Family Privacy Protection Act Statement.

The Family Privacy Protection Act, SC Code Section 30-2-50, prohibits any person or private entity from knowingly obtaining or using any personal information obtained from our agency for commercial solicitation directed to any person in the State. Violation of this law is a crime. I have read and understand this statement. I am not requesting personal information for the purposes of commercial solicitation or in violation of law.