Public Records Request

Use the online form below to obtain a public record, such as a fire report.

Date of Request *

Name of Requestor *

First

Last

Requestor's Email *

Requestor's Phone *

Requestor's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Report to be: *

Picked up in person
Mailed to above address
Emailed to above address
Faxed to: (list fax number below)

Fax number

Date/Time of INCIDENT *

Date

Time

Location/Address of INCIDENT *

Address Line 1

Address Line 2

City

State

Zip Code

Other Details:

Signature

Captcha *

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