XXXXXXXX

XXXXXXXXXXXXXXXX

Month ##, Year


Address of Office Maintaining Records
XXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX

This is a request under the Freedom of Information Act (FOIA).

I request that all information releasable under the FOIA concerning the following individual's military service be provided to me. A listing of all units of assignment, their geographical locations, and dates of assignment to these units is specifically requested. A listing of all decorations/medals/qualification badges for which this individual is qualified or entitled is specifically requested. A listing of all military occupational specialties and duty assignments for this individual is also specifically requested. If any of the above information is not available, please send all information that is available.

LAST NAME: LASTNAME

FIRST NAME: Firstname

MIDDLE NAME: Middlename

DATE OF BIRTH: DD Month YYYY

PLACE OF BIRTH: Town, Sate

SSN/Service No: ###-##-####

SERVICE: US Army, US Army National Guard, US Army Reserve, etc . . .

DATES OF SERVICE: DD Month YYYY to DD Month YYYY

(list as much of the above info as you can; if unknown or uncertain, so state)

This individual (is) (is not) deceased and is no longer serving on active duty with the US Army.

I am an individual seeking this information for (personal, non-commercial use) (journalistic purposes) (other).

I am willing to pay appropriate fees associated with this request up to a maximum of $###.##. However, I request a waiver of any applicable fees. I am seeking this information to confirm/refute potentially false or misleading claims made by this individual regarding his military service. Confirmation or refutation of these claims is in the best interests of the United States.

I request that the requested information be mailed to me at the following address:

XXXXXXXXXX

XXXXXXXXXX

Town, State ZipCode

I thank you in advance for your assistance. Should you have questions, please contact me at ###-###-####, or via e-mail at ever.

Firstame MI Lastname