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Police Records Request Form
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Description of Records Sought
Records must be described with reasonable specificity.
I would like to inspect (view) the records.
I would like to receive a copy of the records. I understand I may be responsible for fees associated with copying charges or research charges as permitted by Utah Code (
I authorize costs of up to:
63-2-203 (4) encourages agencies to fulfill a records request without charge. Based on
63-2-203 (4), I am requesting a waiver of copy costs because:
Releasing the record primarily benefits the public rather than a person. Please explain.
I am the authorized representative of the subject of the record.
My legal rights are directly affected by the record, and I am impoverished.
Why does the release of the record primarily benefit the public rather than a person?
Please include information supporting your request for a waiver of the fees.
If the requested records are not public, please explain why you believe you are entitled to access.
I am the subject of the record.
I am the person who provided the information.
I am authorized to have access by the subject of the record or by the person who submitted the information. Documentation required by UCA 63-2-202, is attached.
Documentation required by UCA 63-2-202
Other. Please explain:
I am requesting expedited response as permitted by
Please attach information that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication; or other information that demonstrates that you are entitled to expedited response.
Daytime Phone Number
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