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
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Requester Email
Optional if the response will be sent by mail or another approved channel.
- Response Delivery Method
Determination Summary
- Determination Type
- Determination Date
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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
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Pages or Records Released
List page ranges, record identifiers, or file names released to the requester.
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Pages or Records Withheld
List page ranges, record identifiers, or file names withheld or withheld in part.
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Redaction Summary
Describe the portions redacted and the reason for redaction at a high level.
- Referred Office or Agency
Applied Exemptions
- Applied Exemptions
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Exemption Rationale
Explain, in plain language, why each exemption applies. Avoid unnecessary PII and include only the minimum necessary detail.
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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
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Appeal Rights Included in Letter
Confirm that the determination letter includes the requester’s appeal rights and deadline.
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Appeal Deadline (Days)
Number of days the requester has to appeal, if applicable.
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Appeal Instructions
Summarize where and how the requester may submit an appeal.
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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
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Final Determination Letter File
Upload the final signed determination letter, if retained in the case file.
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