SANTA ROSA POLICE DEPARTMENT
965 Sonoma Avenue, Santa Rosa, CA 95404
Phone: 707-543-4033 FAX: 707-543-3615
Request For Duplication of Photographs, Audio and Digital Media
This does not include reproduction of reports or other documents. Contact the Discovery Technician
regarding non-photo/video/audio evidence.
REQUESTING PARTY, MUST READ:
•
One of the following must accompany this request: A court order or discovery authorization from the Sonoma County
District Attorney’s Office is required in criminal cases; in other cases a subpoena duces tecum may be required.
•
All items must be paid in full prior to the request being fulfilled.
•
Please allow fifteen (15) business days for processing after payment is received.
TO BE COMPLETED BY REQUESTING PARTY:
PRINT NAME:______________________________SIGNATURE:_____________________________________DATE:_____/_____/_____
ADDRESS:____________________________________________________________________________ PHONE:____________________
REPORT NUMBER:________________DATE OF EVENT:_____/_____/_____YOUR AFFILIATION TO CASE:____________________
LIST EVIDENCE NUMBERS OF EACH ITEM REQUESTED
SERVICES REQUESTED, REQUESTING PARTY MUST
:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
TO BE COMPLETED BY DISCOVERY TECHNICIAN:
ITEM DESCRIPTION
EACH
SUBTOTAL
PHOTO – 4 x 6
$2.00 X_____
=
___________
PHOTO – 8 x 10
$15.00 X_____
=
___________
PHOTO – CD-R
$22.00 X_____
=
___________
DISPATCH RECORDINGS
$22.00 X_____
=
___________
CAD PRINTOUT
$2.00
X_____
=
___________
CD-R/DVD-R
$22.00 X_____
=
___________
OTHER
_____
X_____
=
___________
TOTAL:______________
REQUESTING PARTY CONTACT AND ADVISED OF AMOUNT DUE ON_____/_____/_____AT_______HRS., BY_______________
RECORD OF PAYMENT TO BE COMPLETED BY DISCOVERY TECHNICIAN:
DATE PAID:_____/_____/_____ RECEIPT NUMBER:____________ PAYMENT RECEIVED FROM:_____________________________
(COMPLETE THE FOLLOWING IF THE REQUEST HAS BEEN MADE BY ANOTHER SONOMA COUNTY AGENCY OR THE PUBLIC DEFENDER)
SONOMA COUNTY AGENCY:__________________________________ PUBLIC DEFENDER:_________________________________
NOTIFICATION OF COMPLETION:
REQUESTING PARTY NOTIFIED THAT ITEM(S) ARE READY FOR PICK UP ON____/____/____AT_______HRS., BY___________
SIGNATURE OF PERSON PICKING UP ITEMS(S):________________________________DATE:____/____/____
FEE RATES EFFECTIVE 9/19/11 (FEES ARE REGULATED BY THE SANTA ROSA CITY COUNCIL AND SUBJECT TO CHANGE)