SAMPLE FREEDOM OF INFORMATION ACT APPEAL LETTER
A sample FOIA appeal letter is shown below. Keep a copy of your appeal. You may
need to refer to it in further correspondence with the agency.
Principal Deputy Administrator
Centers for Medicare & Medicaid Services
Baltimore, MD 21244-1850
Re: Freedom of Information Act Appeal
This is an appeal under the Freedom of Information Act.
On (date), I requested documents under the Freedom of Information Act. My
request was assigned the following identification number: ____. On (date), I
received a response to my request in a letter signed by (name of official). I appeal
the denial of my request.
[Optional] I enclose a copy of that response letter.
[Optional] The documents that were withheld must be disclosed under the FOIA
because (provide details you would want an agency head or appeal officer to
consider when deciding your appeal.)
[Optional] I appeal the decision to deny my request for a waiver of fees. I believe