Legal Police Report Request

LEGAL POLICE REPORT REQUEST

This Legal Police Report Request (the Request) is made effective on / / by and between Requesting Party: , Address: and Police Agency: , Agency Address: .

RECITALS

WHEREAS, Requesting Party seeks a copy of the official police record, investigative report, and related materials concerning the incident identified as Incident Number: , which occurred on / / at or near .

WHEREAS, Requesting Party requires the requested records for the lawful purpose(s) described below and agrees to comply with all statutory, regulatory and agency requirements applicable to the release, handling and use of those records.

WHEREAS, the Agency has authority to disclose the requested records consistent with law and agency policy and may condition release on verification of identity, fee payment and execution of this Request.

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

1. REQUEST FOR RECORDS

1.1 Requesting Party hereby requests the Agency produce the following items related to the Incident Number specified above. Requesting Party selects all items requested by checking the applicable boxes and providing any supplemental details.

Requested Record Types: Certified copy of investigative report
Uncertified copy of report
Photographs / scene images
Body-worn camera / in-car video
911 / audio recordings
CAD logs / dispatch records
Other (describe):

2. IDENTIFICATION AND AUTHORITY

2.1 Requesting Party certifies its identity as follows (provide all applicable information). The Agency may require presentation of original identification and proof of authority prior to release.

3. DELIVERY, FEES AND PAYMENT

3.1 Delivery method requested (check one or more):
Mail Email In-person pickup

3.2 Requesting Party acknowledges that the Agency may impose fees for search, duplication, certification and redaction in accordance with applicable law. Requesting Party agrees to pay reasonable fees assessed by the Agency. Any estimate of fees provided in advance is non-binding; Agency will notify Requesting Party of any estimated or actual fees prior to release where notice is required.

4. AUTHORIZATION, CONSENT AND LIMITATIONS

4.1 Requesting Party authorizes release of the records to the Requesting Party or its authorized representative. Requesting Party acknowledges that the Agency may redact information protected by law, including but not limited to personal identification of third parties, confidential investigative sources, and information the disclosure of which would endanger safety or ongoing investigations.

4.2 If Requesting Party seeks release on behalf of another person or entity, Requesting Party certifies that it has express written authorization to receive the records and will provide the required proof attached to this Request. Describe authority or attach documentation:

5. USE, CONFIDENTIALITY AND LIMITATIONS ON REDISCLOSURE

5.1 Requesting Party agrees that records obtained pursuant to this Request will be used only for the stated lawful purpose(s) and will not be further disclosed in a manner inconsistent with applicable law. If disclosure is required by subpoena or court order, Requesting Party will provide prompt notice to the Agency where permitted by law and will cooperate with the Agency to seek protective orders where necessary.

5.2 Requesting Party understands that the Agency makes no warranties as to the completeness, accuracy or fitness of the records for any particular purpose and that the Agency retains discretion to withhold records or portions thereof as authorized by law.

6. CERTIFICATION

I certify under penalty of perjury under the laws of the jurisdiction governing this Request that the foregoing is true and correct to the best of my knowledge and that I am the person entitled to receive the requested records or am authorized to request and receive them on behalf of the named recipient. I understand that knowingly making a false statement to obtain records may constitute a criminal offense.

7. NOTICES

All notices, requests for clarification, fee notices, and communications regarding this Request shall be sent to the addresses set forth below. Notice is effective upon receipt.

8. MISCELLANEOUS

Governing Law: This Request and any dispute arising out of or relating to it shall be governed by the laws of the state or jurisdiction in which the Agency maintains custody of the records, without regard to conflict of laws principles. The parties agree that jurisdiction and venue for any dispute shall lie in the appropriate state or federal court located in that jurisdiction.

Entire Agreement: This Request constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous representations, understandings and agreements, whether written or oral.

Severability: If any provision of this Request is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect and shall be construed so as to effectuate the intent of the parties to the greatest extent permitted by law.

Amendments and Waiver: Any amendment to this Request must be in writing signed by both parties. No waiver of any provision shall be valid unless in writing and signed by the party against whom enforcement is sought.

Counterparts: This Request may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

ATTACHMENTS AND SUPPORTING DOCUMENTATION

Attach copies of identification, authorization letters, power of attorney or other documents supporting this Request. Describe attachments below and attach originals where required.

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