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2. 
4. Freedom Information Act (FOIA) - Audio Request Form
6. Dateof Request
   Dateof Request
7. Requesting Department/Agency
9. Requested by
10. Requestor's Role
    -- Select One --ChiefCaptainLieutenantOther
12. Requestor's Phone Number
13. Requestor's Email
15. Request

    Please select all that apply.

16. Phone Audio

    1. Yes
    2. No
17. Radio Audio

    1. Yes
    2. No
18. Date/Time of Incident
    Date/Time of Incident

    Date/Time of Incident
20. Call for Service (CFS) Number
21. Type of Call
22. Name of Caller
24. Location of Incident
25. Additional Information
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 

    • 1) your submission will not be signed in the sense of a traditional paper document, 
    • 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 
    • 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
29. Electronic Signature
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field