Under the Freedom of Information Act (FOIA), Federal agencies and components are required to make records available to the public unless one of nine (9) specific exemptions authorizes their withholding.
Please use this form to file a FOIA Request. Please complete all required fields.
One of the following two options is required
1. Attach a document describing the records you are seeking in a way that will permit the Defense Health Agency (DHA) Privacy and Civil Liberties Office (Privacy Office) to identify and locate them.
Formats accepted: .PDF, .DOC, .DOCX format Size limit: 1MB
2. Alternatively, describe the records you are seeking in a way that will permit the Defense Health Agency (DHA) Privacy and Civil Liberties Office (Privacy Office) to identify and locate them; using the container below:
In certain LIMITED circumstances, individual requests are entitled to be moved ahead of other requests on an expedited basis. The following factors must be met and certified to be true and correct:
Should it be necessary, upon evaluating your request, that complex research and extensive consultation efforts will result, please indicate the fees you would be willing to pay. You are required to select at least one of the choices below:*
The option of a fee waiver is available for qualified parties. To submit a fee waiver request indicate your intent using the radio button below and provide valid explanation in the following field while taking care to address each of the following six (6) factors:
The form being submitted is not using a secure infrastructure. Please ensure that no parts of this field include Personally Identifiable Information (PII) of concern like specifics regarding medical conditions or social security numbers, et al.
By submitting this form I hereby assert that all information provided above is accurate and true to the best of my knowledge.
DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101
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