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FOIA Response Determination Letter Template

FOIA Response Determination Letter Template

Template for documenting a FOIA determination letter, including request details, applied exemptions, pages released and withheld, and appeal rights.

Request and Case Identification

  • FOIA Request ID
  • Request Received Date
  • Requester Name
  • Requester Email
    Optional if the response will be sent by mail or another approved channel.
  • Response Delivery Method

Determination Summary

  • Determination Type
  • Determination Date
  • Records Reviewed
    Briefly describe the records searched or reviewed. Use minimum necessary detail.
  • Number of Responsive Pages or Records

Release and Withhold Decision

  • Disposition for Responsive Records
  • Pages or Records Released
    List page ranges, record identifiers, or file names released to the requester.
  • Pages or Records Withheld
    List page ranges, record identifiers, or file names withheld or withheld in part.
  • Redaction Summary
    Describe the portions redacted and the reason for redaction at a high level.
  • Referred Office or Agency

Applied Exemptions

  • Applied Exemptions
  • Exemption Rationale
    Explain, in plain language, why each exemption applies. Avoid unnecessary PII and include only the minimum necessary detail.
  • Segregability Review Completed
    Confirm whether a segregability review was completed to determine if any reasonably segregable portions could be released.

Appeal Rights and Next Steps

  • Appeal Rights Included in Letter
    Confirm that the determination letter includes the requester’s appeal rights and deadline.
  • Appeal Deadline (Days)
    Number of days the requester has to appeal, if applicable.
  • Appeal Instructions
    Summarize where and how the requester may submit an appeal.
  • Fee or Cost Notice
    Include any fee assessment, waiver, or cost-related notice if applicable.

Approval and Audit Trail

  • Prepared By
  • Reviewed By
  • Approved By
  • Letter Issue Date
  • Final Determination Letter File
    Upload the final signed determination letter, if retained in the case file.
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