City of Suffolk (VA) Freedom of Information Act (FOIA) Request Form

2. Name*
   First Name and Last Name
3. Email Address
5. Company Name
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number
14. Fax Number
16. Nature of Request *
    Specific Description of Record(s) Requested
18. File Upload
    (if needed to supply description of request or supplemental information)
20. Cost Estimate Requested (?)*

    1. YES
    2. NO

    Do you require a cost estimate prior to a response being provided?
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

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