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Request for Public Information

2. First Name

3. Last Name

5. Address

7. City

8. State

9. Zip Code

11. Phone Number

12. Fax Number

14. Email Address

16. Date and time of Incident

    Please indicate the date and time of the incident if known.

17. Type of report requested
    -- Select One --Crash ReportLog EntryIncident ReportArrest Report

    Please select type of report

18. Date of request

20. Please describe what you are looking for.

    Give us some information on what you are looking for to help us locate the information.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

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