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West Allis Police Department Open Records Request Form

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Please only fill out the sections you would like researched and fulfilled. Fees will apply per page.
Date
Date
Email Address:*
Full Name (First, Middle Initial, Last) & Agency (if applicable):
Date of Birth:
Date of Birth:
Address:
City:
State:
Zip Code:
Phone number
Phone type
REPORTS REQUESTED
Date of Report:
Date of Report:
Report Number(s):
Report Type(s):
Location(s):
Individual(s) Involved:
Other Information:
RECORDS CHECK ON PERSON - Complete this section ONLY if a background check is needed on a person
Person's Full Name (First, middle initial, last):
Person's Date of Birth:
Person's Date of Birth:
Person's Address:
Person's City:
Person's State:
Person's Zip Code:
RECORD CHECK FOR CALLS OF SERVICE - Complete this section ONLY if an address check is needed
Location:
Dates:
Dates: Start Date
—
Dates: End Date
* IT IS NOT MANDATORY THAT YOU PROVIDE YOUR NAME, HOWEVER, DOING SO ENABLES US TO PROCESS YOUR REQUEST AND PROVIDE THE INFORMATION TO YOU* REV 04/27/2017

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West Allis Police Department Open Records Request Form

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