Records Request Form

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Records Request

It is the San Rafael Police departments policy that we do not release police reports to a party or parties in the report in which they are listed as a suspect or suspect arrested.

Records requests take at least 10 business days to complete after the report has been received from the records department. Please note that it may take time for the report to reach our records department if the investigation is on-going, or the officer has not yet completed the report.

Request Date:	03-20-23
Date/Time of Occurrence:
Type of case:
Case or Incident Number:
Appliant First Name:
Applicant Last Name:
Phone Number:
Email Address:
Select Delivery Method:

Party of Interest:
Victim
Driver
Passenger
Property Owner
Parent or Guardian for:
Attorney
Insurance Representative
Authorized Individual
Other Party of Interest

I declare under penalty of perjury that the above information is true and correct. The theft or alteration of an official document is a felony punishable under section 6201 of the government code.

Address:
City:	State: Zip: