Name of the state institution or agency

Name and surname of the information provider

Requestor’s name and surname
/In case of legal entity, its name and address/
Address of residence, work or educational institution,
nationality, phone numbers, email address

Request for Information

Dear Mr./Ms. _____________,

In line with the amendments made to Articles 42 and 51 of the RA Constitution in 2015 and Articles 6 and 9 of the RA law on Freedom of Information, please provide information on __________________ (clearly state the information you need).

Please respond to my information request in the ways and terms specified by the respective laws.

Please send the notification in written or electronic form.

(I am ready to cover additional expenses if the amount of the provided information exceeds the amount stipulated by paragraph 2 of Article 10 of the RA law on Freedom of Information).

Thank you.

Name, Surname Signature

Date