[DATE]

FOIA OFFICE

U.S.  Immigration and customs Enforcement

800 North Capitol St., NW

5th Floor, Suite 585

Washington, DC 20536

RE:     FOIA REQUEST

           Your Name

           A#: Your Alien Number AKA USCIS Number (if applicable)

Dear Sir/Madam:

This is a request for expedited processing of the attached Freedom of Information Act (FOIA) request,

made pursuant to 6 CFR 5.5(d)(1). I am seeking the disclosure of “all U.S. Immigration and Customs

Enforcement  (ICE) records concerning my case.

Pursuant to the Privacy Act of 1974 and the Department of Homeland Security (DHS) policy, I hereby

Consent to the disclosure of all records concerning my case at the following address:

                    Your Name

                    Your Address

I certify that my statements are true and correct to the best of my knowledge and belief.

Sincerely,

_______________________

Your Name

Your Address or P.O BOX