Sapd Form 133-Foia - Order Report (Page 2 of 2) in pdf

City: ______________________________State: ____________Zip Code: _____________

6. Requestor’s Phone: __________________________________________________________

7. Requestor’s Company Name (If Applicable):_________________________________________

8. I Want: an Offense Report / a Traffic Accident Report (Circle All that Apply)

9. SAPD Case Number: ________________________________________________________

(This is usually provided by an SAPD Officer on a business card on the day of incident. Providing this

information will greatly expedite your request).

10. Date of the Incident: _________________________________________________________

(This is mandatory for any records prior to the year 2005).

11. Approximate Time of the Incident: ____:____am/pm (Circle one)

12. Name and Date of Birth of Complainant, Victim or Drivers Involved: __________________

___________________________________________________________________________

13. The Address, Block or Intersection of Where the Police were Dispatched to: _____________

___________________________________________________________________________

14. The Phone Number Used to Dial 911 (If Applicable):___________________________________

15. If the information you want is not listed as an option, please give a detailed description of the information that you

seek: ____________________________________________________

__________________________________________________________________________

For police reports related to a pending criminal prosecution, the City can object to release of the report. However, except

for cases involving a minor, the public portion of the report must be released. The public portion of a report includes:

a. The basic information of the arrested person(s)

b. The basic information of the victim/complainant/reporting person

c. The basic narrative

The public portion of a report does not include:

d. Any other details of the arrested person(s) other than their name.

e. Any details of a suspected person(s) (a person that was not arrested).

f. Any other details of the victim/complainant/reporting person other than their name.

g. Any details of any witnesses.

Do you agree to only receive the public portion of the report: Yes / No (Circle One)

SAPD FORM 133-FOIA Rev. (09-03-14)

Sapd Form 133-Foia - Order Report Page 2