Data Request - Law Enforcement Data Only

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Please correct the fields below:

Please correct the field(s) marked in red below:

1

Please use this form when requesting law enforcement data only. All law enforcement data requests are processed in accordance with departmental policy and MN Data Practices laws under MN State Statutes 13.04 Subd. 3 and 13.82 and 13.825. Some police reports older than seven (7) years may have been disposed of and no longer available per retention guidelines. See Retention Guidelines for an inventory of police records and retention periods.

2

I would like to:

Inspect the requested data at the police department

Get copies of the requested law enforcement data

3

I am a:

Data Subject (Involved in incident)

Member of the Public (Non Data Subject - Not involved in incident)

Law Enforcement Agency

4

Law Enforcement Agencies: If employment related, please upload authorization to release information.

Members of the Public ONLY: Please read the attached Notice to Members of the Public.

Data Subjects ONLY: As your report may contain private data, please upload proof of your identity. Please read the attached Notice to Data Subjects.

A parent or guardian of a minor must provide a valid photo ID and either a certified copy of the minor's birth certificate or a certified copy of documents that establish the parent or guardian's relationship to the child, such as a court order relating to divorce, separation, custody or foster care; a foster care contract; or an affidavit of parentage, before they may receive the minor's private data.

Law Enforcement Agencies: If employment related, please upload authorization to release information. Members of the Public ONLY: Please read the attached Notice to Members of the Public. Data Subjects ONLY: As your report may contain private data, please upload proof of your identity. Please read the attached Notice to Data Subjects. A parent or guardian of a minor must provide a valid photo ID and either a certified copy of the minor's birth certificate or a certified copy of documents that establish the parent or guardian's relationship to the child, such as a court order relating to divorce, separation, custody or foster care; a foster care contract; or an affidavit of parentage, before they may receive the minor's private data.

UPLOAD ID, AUTHORIZATION, ETC.

Click button for uploading file

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Law Enforcement Agencies: If employment related, please upload authorization to release information. Members of the Public ONLY: Please read the attached Notice to Members of the Public. Data Subjects ONLY: As your report may contain private data, please upload proof of your identity. Please read the attached Notice to Data Subjects. A parent or guardian of a minor must provide a valid photo ID and either a certified copy of the minor's birth certificate or a certified copy of documents that establish the parent or guardian's relationship to the child, such as a court order relating to divorce, separation, custody or foster care; a foster care contract; or an affidavit of parentage, before they may receive the minor's private data.

Click button for uploading file

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

5

Contact Information

Full Name

Parent/Guardian Name (if applicable)

Address

Business Name (if applicable)

City, State, Zip Code

Phoneext.

Email Address

6

These are the data I am requesting:

Accident Report

Police Report

Statistical Report

7

Describe the data you are requesting as specifically as possible. For statistical reports, please include the date range you wish us to search.

Case Number

Incident Date

Officer(s)

Incident Location

Person(s) Involved - include date of birth, if known

Other

Search Date Range: From Date

Search Date Range: To Date

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