Records Request – Online

Records Request

UTPD Records Request Form

Name of Requesting Party*
First Last
Date

MM/DD/YYYY
Time

: HH

MM
Case/Incident Number
Phone
Email*
Fax
Name of Party Listed in Report (if different than Requesting Party)
Name of Agency (if applicable)
Type of Report*
Date of Incident
Time of Incident
Location of Incident
Involvement*

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