Police Public Records request

2. Police Public Records request
   Please provide as much information as possible to help us efficiently process your request.

   Please provide as much information as possible to help us efficiently process your request.

4. Requestor name*

6. Street address*

8. Street address

10. City*

11. State*

12. Zip*

14. Email address*

15. Phone number*

17. Today's date*
    Today's date

18. Preferred method of contact*

    1. US Mail
    2. Email

22. Description of records requested*

    Please describe the records you are requesting and any additional information that will help us locate them for you as quickly as possible. Failure to provide sufficient information to identify the records may cause delay in processing your request. (i.e. case number, approximate date of incident, address location, people involved and birth dates)

26. Statements of understanding
    If I request copies of records, I understand there is a charge of $.15 for single-sided copies on 8.5 x 11 or 8.5 x 14 paper. Other sized copies, maps, and media are priced at actual cost incurred by the City. The cost for mailing will also be charged to the requestor. For large or costly requests, a deposit may be required in advance.

    If I request copies of records, I understand there is a charge of $.15 for single-sided copies on 8.5 x 11 or 8.5 x 14 paper. Other sized copies, maps, and media are priced at actual cost incurred by the City. The cost for mailing will also be charged to the requestor. For large or costly requests, a deposit may be required in advance.

28. How do you wish to receive records*

    1. I wish to have copies of the records indicated above provided and I will pick them up, reproduction fee will apply
    2. I wish to have copies of the records indicated above provided and mailed to me, reproduction and postage fee will apply (prepayment may be required)
    3. I wish to make an appointment to review the records above before copies are made. Review of records will be monitored by a City Staff employee
    4. I wish to have records emailed to me if the record exists in digital format. (If files are too large to email, the City will contact you to make other arrangements

30. Dissemination of records
    I understand that secondary dissemination of this information is prohibited unless in compliance with RCW 10.97 and RCW 43.56. Additionally, I certify that any lists of individuals obtained through this request for public records will not be used for commercial purposes per RCW 42.56.070(8).

    I understand that secondary dissemination of this information is prohibited unless in compliance with RCW 10.97 and RCW 43.56. Additionally, I certify that any lists of individuals obtained through this request for public records will not be used for commercial purposes per RCW 42.56.070(8).

32. Requestor name*

33. Today's date*
    Today's date

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field