Public Open Records Request Form

Requestor Information

Name (required)

Address

Contact Phone (required)

Type of media being requested

Call Audio

Printout of call notes (CAD)

Incident information:

Incident address/location (required)

Incident Date (required)

Approximate time

Other information to assist with locating the information

Requestor:

Printed name (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

I agree to use electronic records and signatures

Copy of photo ID - will be required at pickup or can be sent here

Associated documents (subpoena, etc)

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