PETITION AND AFFIDAVIT FOR GOOD CAUSE/ FOR INJUNCTION OF MANDAMUS - FREEDOM OF INFORMATION ACT Commonwealth of Virginia Va. Code § 2.2-3713 General District Court CITY OR COUNTY STREET ADDRESS OF COURT CASE NO. HEARING DATE AND TIME PETITIONER(S) ADDRESS/LOCATION v. PLAINTIFF DEFENDANT I, the Plaintiff, state under oath that: The following rights and privileges under the Virginia Freedom of Information Act were denied to me by the Defendant: (DESCRIBE RIGHTS AND PRIVILEGES DENIED) V. DEFENDANT (S) These rights and privileges were denied to me by: [ ] the defendant [ ] by I have good cause for filing this petition in that: who denied me these rights and privileges ADDRESS/LOCATION PETITION AND AFFIDAVIT FOR GOOD CAUSE/FOR INJUNCTION OF MANDAMUS FREEDOM OF INFORMATION ACT I ask this court to issue: [ ] a writ of mandamus to require the defendant to act as follows: [ ] an injunction to enjoin (prohibit) the defendant from acting as follows: (DESCRIBE ACTS TO BE REQUIRED OR PROHIBITED) ATTORNEY(S) FOR PLAINTIFF(S) ATTORNEY(S) FOR DEFENDANT(S) DATE PETITIONER Commonwealth of Virginia, [ ] City [ ] County of Subscribed and sworn to before me this day by DISABILITY ACCOMMODATIONS for loss of hearing, vision, mobility, etc., contact the court ahead of time DATE [ ] Clerk [ ] Deputy Clerk [ ] Magistrate [ ] Notary Public: My Commission expires: American LegalNet, Inc. www.USCourtForms.com FORM DC-495 12/01 PDF