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West Allis Police Department Open Records Request Form

2. 
4. Please only fill out the sections you would like researched and fulfilled. Fees will apply per page.
6. Date
   Date
8. Email Address:*
10. Full Name (First, Middle Initial, Last) & Agency (if applicable):
11. Date of Birth:
    Date of Birth:
13. Address:
15. City:
16. State:
17. Zip Code:
19. Phone number
20. Phone type
    -- Select One --Home phoneBusiness phonePersonal phone
22. REPORTS REQUESTED
24. Date of Report:
    Date of Report:
25. Report Number(s):
26. Report Type(s):
28. Location(s):
30. Individual(s) Involved:
32. Other Information:
34. RECORDS CHECK ON PERSON - Complete this section ONLY if a background check is needed on a person
36. Person's Full Name (First, middle initial, last):
37. Person's Date of Birth:
    Person's Date of Birth:
39. Person's Address:
41. Person's City:
42. Person's State:
43. Person's Zip Code:
45. RECORD CHECK FOR CALLS OF SERVICE - Complete this section ONLY if an address check is needed
47. Location:
49. Dates:
    Dates: Start Date

    —

    Dates: End Date
51. * 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
53. Request Approved
    -- Select One --YesNoLetter
54. Authority:
55. Amount Due:
57. Comments:
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

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