Crime Reports Request
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Your full name:
Date(s) of records requested:
Records requested:
I would like copies of records provided to me in printed form:
I would like copies of records provided to me in electronic form if available:
Phone:
Email Address:
Address (Mailing):
City (Mailing):
State (Mailing):
Zip (Mailing):
Under penalty of law, I hereby certify that I will not use, nor will I allow to be used in any form or manner, the information received as a mailing or telephone number list for the purposes such as soliciting, etc. I further certify such records requested will be used for information only and will not be sold or distributed in any manner that is unlawful. (I.C. 74-120)
I Agree:
Submit