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Request for Law Enforcement Records

  1. Frederick-Police patch.jpg

  2. Document (s) Requested: *

  3. (Provide approximate date of incident or name involved if you do not know the specific case report number)

  4. All Records Requests will be charged at the rate of $30.00 per hour, plus 0.25 cents per page. Copy of video/audio: $7.00 for staff time to search for the data and make the disk. Additional time required will be charged at $7.00 for every 15 minutes. All Traffic Reports can be found on

  5. Records of official actions and criminal justice records and the names, addresses, telephone numbers, and other information in such records shall not be used by any person for the purpose of soliciting business for pecuniary gain. The official custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for pecuniary gain.

  6. The date and hour set for the inspection of records not readily available at the time of the request shall be within a reason time after the request. As used in this subsection (3), a “reasonable time” shall be presumed to be three working days or less. Such period may be extended if extenuating circumstances exist. However, such period of extension shall not exceed seven days.

  7. Please check the box and type in your Signature.

  8. Electronic Signature*

  9. Information release_________________ Amount Due_______________ ID Verified by:____________

  10. Reason for Denial of Inspection

  11. Release completed by:

  12. Returned via

  13. Leave This Blank:

  14. This field is not part of the form submission.