Requesting My Records and Access Appeals

If you wish to submit a handwritten request, your request must include the following information:

• Full name
• Date of birth
• Place of birth
• Full social security number
• Mailing address and email address if you'd like your material returned electronically
• Any available information regarding the type of record involved
• An original notarized statement or an unsworn declaration in accordance with 28 U.S.C. 1746, in the following format: I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on (date). (Handwritten Signature).

Requests can be sent to the FOI/P Office for Investigations via the methods listed below:

Mailing Address

Defense Counterintelligence and Security Agency
ATTN: FOI/P Office for Investigations
1137 Branchton Road
P.O. Box 618
Boyers, PA 16018

dcsa.boyers.dcsa.mbx.inv-foip@mail.mil

You may submit your request as a scanned attachment to an email. Prior to sending, please ensure the security of your e-mail system is adequate for transmitting sensitive, personally identifiable information (e.g., full name, social security number, date of birth, etc.).

FAX:(878) 274-4859 (advisement: this is an unclassified fax number)

If you are seeking a copy of a Standard Form (SF) 86, 85P or 85 – either completed in the e-QIP system or NBIS e-APP – we encourage you to first coordinate with your sponsoring agency/entity (e.g., human resources office or security office) to obtain the record from them. If they do not have the ability to retrieve your SF form from the system, follow the instructions above to submit a request.

Written requests must include the following:

• Designation of the third party / representative (e.g attorney, guardian, etc.), which includes the name and mailing address of the representative / third party to whom the data subject permits DCSA to release his/her record.
• Specific authorization from the data subject indicating the FOI/P Office for Investigations may release their records to the designee.
• Specific identification of the records the FOI/P Office for Investigations may release to the designee.
• Identifying information about the data subject: Full name, Date of birth, Place of birth, and complete social security number.

The written authorization must also include an original notarized statement or an unsworn declaration, from the data subject, in accordance with 28 U.S.C. 1746, in the following format: I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on (date). (Signature).

Requesters have the right to appeal the DCSA FOI/P component office’s decision. An appeal must be received by DCSA within ninety (90) calendar days from the date of the final response letter. The appeal should include: (1) the reason(s) the requested information should be released, (2) an explanation why the agency response may have been in error, (3) a copy of the original request, (4) a copy of the final response letter, and (5) a reference to the tracking number provided in the final response letter. Clearly mark the outside of the envelope and your appeal letter: “Privacy/FOIA Appeal”.

Appeals may be submitted in writing to:

Mailing Address

Defense Counterintelligence and Security Agency
ATTN: FOIA Appellate Authority
1137 Branchton Road
P.O. Box 618
Boyers, PA 16018

dcsa.quantico.dcsa-hq.mbx.foia@mail.mil
Note: Prior to sending, please ensure the security of your e-mail system is adequate for transmitting sensitive, personally identifiable information (full name, social security number, date of birth, etc.).

The appellant will be notified of the decision on their appeal in writing. A decision that upholds a component office's determination, in whole or in part, will contain a statement that identifies the reasons for the affirmation, including any exemptions applied. The decision will also inform the appellant of their statutory right for judicial review of the appellate authority's decision. Pursuant to 5 U.S.C. §552a(g)(1) and 32 CFR 310.6(b), appellants may seek judicial review for any negative determinations in the District Court of the United States in the district: (1) in which they reside; (2) in which they maintain their principal place of business; (3) where the disputed agency records are maintained; or (4) in the U.S. District Court for the District of Columbia.

If a decision is remanded or modified on appeal, in whole or in part, the appellant will be notified of that determination in writing. The DCSA FOI/P component office will thereafter further process the request in accordance with that appeal determination and respond directly to the appellant.