Skip Navigation

Public Information Request

Police Department

FIRST & LAST NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE NO.:
Email:
Confirm Email:
NAME OF FIRM OR COMPANY REPRESENTING (if applicable):
INDICATE PREFERENCE: A COPY OR VIEWING/INSPECTING THE RECORD(S):
I AUTHORIZE A REDACTED VERSION OF THE RECORD(S) TO BE ACCEPTABLE (ie: Driver’s License, Social Security, and Vehicle License Plate number’s).
DESCRIPTION OF PUBLIC RECORD(S) BEING REQUESTED: Date of Incident (If exact date is unknown, please indicate month and/or year):
Incident #:
Person Involved:
I understand I am responsible for any applicable charges as a result of this open records request.

Visitor InformationElections InformationParks and RecreationJob OpeningsPolice DepartmentBudget and Taxes

Copyright © 2016 - Lake Worth, Texas. USA

powered by ezTaskTitanium TM