Sample Form
Name of the Public Authority or Organisation

First and Last Name of the Official Responsible for Providing Information

Applicant’s First Name, Last Name and Patronymic  
/Residential, Work or Study Address/

Information Request

Dear Mr/Ms __________________________,

Pursuant to Articles 42 and 51 of the Constitution of the Republic of Armenia and Article 6 of the RA Law on Freedom of Information, I kindly request that you provide me with information about __________________________ (please specify the information requested as clearly as possible).

Pursuant to Article 9 of the RA Law on Freedom of Information, a written request for information submitted by a citizen must be responded to within five days of receipt, except where the provision of the requested information requires additional work (30 days). Therefore, I kindly request that you respond to my information request in accordance with the procedure and within the time limits prescribed by law.

In the event that the provision of information is refused, please notify me in writing of the grounds for refusal (Article 11) and, where possible, provide the address of the public authority or official to whom I may direct my request.

(I am willing to cover the costs of photocopying the information.)

Thank you in advance.

First Name, Last Name, Signature

Date