FOI Information Request Form

FOI request form

Freedom of Information Act: Information Request Form

Please complete the form below, providing as much detail as possible, to enable us to identify and locate information requested.

Please note: We need contact details to which we can send our reply. You are not obliged to complete any other identification details at all, although if you are willing to do so, it will help us to target and improve our service to stakeholders.

Your contact details


Title:
Forename(s):
Surname:
Contact address
Postcode:
Telephone number:
Mobile:
E-mail address
Confirm e-mail address

If this application is being made on behalf of an organisation, please give details below:


Name of organisation:

Details of request

Details of request: Please provide as much detail as possible of the information you require. This will assist us in processing your request quickly and efficiently. If you have some idea where the information you want is located, please let us know. We may contact you for further information if your request is unclear.


Details of information required

Personal data supplied in this form may be held on computer and will be used in accordance with the Data Protection Act 1998 for statistical analysis, management, planning and in the provision of services by the Agency. The MHRA will treat all information as confidential

Main navigation

FOI request form

Freedom of Information Act: Information Request Form

Your contact details

Details of request