Online Records Request Form

Name of Requestor*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax Number

Email*

Title of Record*

Please indicate if you would like an Incident Report, Fire Investigation Report, etc…

Date of Record*

Location of Incident*

The address of the incident.

Please describe the records you are requesting and and additional information that will help us locate the record for you as quickly as possible. Failure to provide information sufficient to identify the records may cause delay.*

I understand there may be charges of $0.15 per page for duplication of these records.*

I wish to have copies/duplicates of the record indicated above.
I wish to make an appointment to review the records indicated above before copies are made.

Consent*

I certify that any lists of individuals obtained through this request for public records will not be used for commercial purposes.

Signature

Date*

File

Drop files here or

Max. file size: 256 MB.

Please attach any information that might assist with fulfilling your records request.

Public Records Request Form