FREEDOM OF INFORMATION

REQUEST FORM

Date of Request ________________

                                                                                    Report # ______________________

Name of Person making request: ___________________________________________

Address: _______________________________________________________________

Phone number where you can be reached: ___________________________________

Reason for request: ______________________________________________________

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Date (s) of Incident: ______________________________________________________

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Type (s) of Incident: ______________________________________________________

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Location (s) of Incident: __________________________________________________

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Names (s) of People Involved: ______________________________________________

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Deputy (s) who handled report: ____________________________________________

• Sheriff’s Office has 7 working days to review and furnish copy of report
  (if it is within the criteria of “Freedom of Information Act”)

• $5.00 charge per report due at time of release

• If additional information is available charges will be applied