FOIA Request Form

Please fill out as much information as possible. This data will be used to locate what you are requesting.

Requestor
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Information Requesting
Date of Incident*
MM slash DD slash YYYY
Time of Incident*

: Hours

Minutes

AM/PM
Address of Incident
Street Address Address Line 2 City State ZIP Code
Type of Incident
Description of Incident*
Caller's Name*
Caller's Phone Number*
Comments
This field is for validation purposes and should be left unchanged.