Utah County Sheriff Records Request Form
Download a blank fillable Utah County Sheriff Records Request Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Utah County Sheriff Records Request Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Print Form
UTAH COUNTY SHERIFF RECORDS REQUEST FORM
Requestor Information:
Name:____________________________________
Daytime Telephone #: _______________________
Address:____________________________________City:__________________State:_________Zip:________
Date of Request:_______________________________
Identification:______________________________
Record Request:
Case/Incident #:____________________
Type of Incident::_______________________________________
Date of Incident:____________________
Location of Incident:____________________________________
Description of Requested Record (must be described with reasonable specificity - incident report, photos, etc.)
_________________________________________________________________________________________
_________________________________________________________________________________________
Reason for Request:
_____ I would like to inspect the record
_____ I would like to receive a copy of the record.
_____ I request a waiver of copy costs for the
I understand I will be responsible for the
following reasons:__________________________
standard fee of $5.00 per report. The total
_________________________________________
amount is due before report is released.
If Applicable, check on of the following:
_____ I am the subject of the record
_____I am the person who provided the information
_____ I am the legal guardian of subject of record
_____I am authorized to have access by the subject
_____ Insurance Company
of the record or by the person who submitted
_____ Court Order or Subpoena
the information (Attach Documentation)
_____ I request an expedited response - Media
_____ Release of record benefits public rather than
(Attach necessary documentation)
person. Explain:_______________________
_____ Other ______________________________
____________________________________
Authorized Release:
I understand that as soon as reasonably possible, but no later than ten business days after signing this request, I
will be notified whether my request was approved or disapproved. I further understand that the agency will
contact me if estimated costs are greater than the amount specified.
Signature:______________________________________________
Date:_________________________
Office Use Only
Date Received:_____________________
Time:________________
By:___________________________
Classification:______________________
Request:
_____ Approved
____ Denied
Amount of Fee Collected:_____________
Date Reviewed:_____________ Date Released:_______________
Items Released:______________________________________________________________________________
Referred to Other Agency:_________________________Extraordinary Circumstances:____________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal