Indicate Type of Request: - None -Open Record RequestPolice Report First & Last Name Mailing Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Phone Number Email Address Confirm Email Address Name of Firm or Company Representing (if applicable) Indicate Preference: A Copy or Viewing/Inspecting the Record(s) - None -CopyViewing/Inspecting I authorize a redacted version of the record(s) to be acceptable (ie: Driver's License, Social Security and Vehicle License Plate numbers) Yes No Description of Public Record(s) being requested: Be specific as possible, date of Incident, timeframe of records (If exact date is unknown, please indicate month and/or year) Incident # for police report Person Involved for police report I understand I am responsible for any applicable charges as a result of this open records request. Yes Leave this field blank