Public Records Request Form

Print, fill out, and take to PD

 

 

                     Request for Inspection or Copy of Records

 

$  5.00 – per copy of report (per case).

$20.00 – per set of color 35 mm photographs (per case).  Allow 1 week for printing.

$20.00 – per set of color 35 mm photographs on CD (per case).  Allow 1 week for printing.

$10.00 – per set of color digital photographs (per case).

$  5.00 – per set of color digital photographs on 3.5” floppy disk (per case).

$  5.00 – per each audio/video cassette tape.

Charges for copies of major cases will be calculated on a time and materials basis.

 

Requests for copies of police reports will be accepted by written request only.  Requests by mail must be accompanied by a stamped, self-addressed return envelope, as well as the necessary payment.

 

No investigative details may be sold until the case is disposed of through Court or by written order from the District Attorney’s Office.  No additional fees will be charged upon release.

 

Date of Request: _____________ Time of Request: ___________             Report # ________________

 

Name of Person Making Request: __________________________________________________

 

Address of Requestor:                    ______________________________________

                                                       ______________________________________

 

Telephone No. of Requestor:         ______________________________________

 

Name/Person Involved:

______________________________________________________________________________

 

Date/Time of Incident: ______________________________________________________________________________

 

Location of Incident: ______________________________________________________________________________

 

I am requesting the following record for inspection/copying (what type of incident): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

_____   I wish to receive a certified copy of the requested record.

 

See Back of Form for Disposition

 

Response to Information Request      Date Received: ___________ Time Received: _______

 

Date of compliance with request: __________________  By: ____________________________

                                                                                                                        Custodian of Records

Date of receipt of records: ________________________ By: ____________________________

                                                                                                                          Requestor

_____   Your request is “unduly burdensome” and is denied.

Responding to this request will disrupt the duly undertaken work of this department.  We have extended the opportunity to you to confer with us in an attempt to reduce the request to manageable proportions and you have failed to do so.   The reasons this is unduly burdensome and the extent to which it is are:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

_____   The following information requested is exempt from inspection, copying or disclosure under the Open Records Law for the following reasons: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

_____   Charges pending in court, full report not available at this time.

_____   Investigation pending, full report not available at this time.

_____  Insufficient information furnished to locate the file.

_____   No police report is on file with this department.

_____   Location of incident occurred in another jurisdiction.  Try _________________________

_____   Minor accident, no written police report on file.

_____   Appropriate fee did not accompany the request.  Please forward a check in the amount of

             $ _______ along with a self-addressed, stamped envelope.  Upon receipt of your check,

we will forward the requested report.

 

 

Date of denial of request: ________________________    By: ___________________________

 

Right to Appeal

 

If your request for records has been denied, in-whole or in-part, you have the right to appeal this decision in writing to the District Attorney for the county in which the record is maintained.