Freedom of Information Act (FOIA) Third Party Perjury Form

This collection is necessary to certify the identity of individuals requesting information under the Freedom of Information Act (FOIA) and Privacy Act (PA). This certification is required under 5 U.S.C. Section 552a(b). The form is used by Privacy Act requesters to obtain personal records via regular mail, fax or email. The department will use the information to help identify first-party or third party requesters with same or similar name when requesting retrieval of their own documents.

The latest form for Freedom of Information Act (FOIA) Third Party Perjury Form expires 2021-03-31 and can be found here.