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2. Note
   Report Number(s) are not required for record(s) requests; if you do not have a Report number please just include date, time, and location of the incident you are requesting. We will check the Police Log for the report.
4. Name*
6. Address*
8. City / Town*
9. State / Province*
11. Country
13. Zip / Postal Code*
15. Phone Number
17. Report Number
19. Email Address*
21. Comments / Description*
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field