_________________

(DATE)

__________________________________
__________________________________
___________________________ OFFICE
___________LOCATION_____________

Thru: Division Concern

Re: Request for Information (Executive Order No.02, Series of 2016)

Dear _____________,

Pursuant to the implementation of Executive Order (EO) No. 02, series of 2016
which provides for the people’s constitutional right to information and the state policies
to full public disclosure and transparency in the public service, I am writing to request
from your good office Access to Information regarding
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(Cite specific documents reasonably describe in the information requested)

The purpose of which is/are as follows:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(Cite the reason for, or purpose of, the request for information)

For your appropriate action.

_________________________
(Name and Signature)

__________________________________________________
(Contact Information: Telephone Number and Mailing Address)

_______________________________________
(Valid Government I.D with photocopy attached)

If applicable: _______________________________
(Special Power of Attorney with a Valid
Government I.D photocopy attached)