|Submitted||Sept. 21, 2016|
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To Whom It May Concern:
This is a request under the Freedom of Information Act. I hereby request the following records:
I am a long-time activist and outspoken artist. I would like to find out if there is anything in an FBI file on me as I have been arrested multiple times and was a defendant in a notorious federal case in NYC for peacefully protesting against the first Iraq war.
The requested documents will be made available to the general public, and this request is not being made for commercial purposes.
In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.
Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 20 business days, as the statute requires.
Dear Mr. Sirota,
The FBI has received your Freedom of Information Act/Privacy (FOIPA) request. If you are seeking records on yourself, you will be required to verify your identity. This verification is required in order to protect your privacy and to ensure that private information about you is not disclosed inappropriately to someone else. Whenever you request information about yourself you will be asked to provide either a notarized statement or a statement with either your name or signature under penalty of perjury stating that you are the person who you say you are. You may fulfill this requirement by completing and signing the U. S. Department of Justice (Certification of Identity) FORM DOJ-361<https://www.fbi.gov/file-repository/u-s-department-of-justice-form-361-certification-of-identity.pdf/view>. Alternatively, you may provide your full name, current address, and date and place of birth and either (1) have your signature on your request letter witnessed by a notary, or (2) include the following statement immediately above your name or signature on your request letter: "I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on [date]." Simply stating, "I declare under penalty of perjury" is not a valid abbreviated penalty of perjury statement according to 28 U.S.C. § 1746. If you request information about yourself and do not follow one of these procedures, your request cannot be processed.
The FORM DOJ-361<https://www.fbi.gov/file-repository/u-s-department-of-justice-form-361-certification-of-identity.pdf/view> is available at https://www.fbi.gov/services/records-management/foia (Freedom of Information Act/Privacy) page, under Records Available by Request and by clicking on U. S. Department of Justice Certification of Identity Form DOJ-361. Please return the form or letter to one of the following: by mail: FBI, Attn: FOIPA Request, 170 Marcel Drive, Winchester, VA 22602-4843, by fax: (540) 868-4391/4997 or by e-mail: firstname.lastname@example.org. You may submit an attachment listing additional information that may aid in locating responsive records. Please place your name and contact information on the attachment.
If you are requesting a copy or wish to challenge your Identity History Summary Check which is often referred to as a criminal arrest record aka (Rap Sheet) or a Criminal Background Check, please contact the FBI's Criminal Justice Information Services Division (CJIS) at (304) 625-5590/2000 or write to:
FBI CJIS Division, - Summary Request
1000 Custer Hollow Road
Clarksburg, WV 26306
If you require additional assistance please contact the Public Information Officer.
PLEASE NOTE: Your name or signature must appear on the "Signature" line of the U. S. Department of Justice (Certification of Identity) FORM DOJ-361.
David P. Sobonya
Public Information Officer/GIS
Record/Information Dissemination Section (RIDS)
FBI-Records Management Division
170 Marcel Drive, Winchester, VA 22602-4843
Ofc: (540) 868-4593
Direct: (540) 868-4286
Fax: (540) 868-4391/4997
A fix is required to perfect the request.