Request Form For Copies Of Public Records - Ashby Police Department

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Ashby Police Department
893 Main Street
P.O. Box 280
Ashby, MA 01431
Phone: (978) 386-5652
Fax:
(978) 386-7753
REQUEST FOR COPIES OF PUBLIC RECORDS
FROM THE POLICE DEPARTME T
OTICE:
For submitted motor vehicle crash reports, contact the Registry of Motor Vehicles.
For Arrest Reports, contact the District Attorney’s Office at the Ayer District Courthouse directly,
(978-772-2100).
Open cases must file for the discovery process.
Completed requests will be mailed to the address you specify below:
For all other records requested, please complete the following:
Your ame:
____________________________________________________________________________
____________________________________________________________________________
Your Address:
Your Phone umbers: _________________________________________________________________________
Records requested: (Be as specific as you can)
Incident Date: ________________
Approximate Time: ___: ___ a.m./p.m.
Officer (s) Involved (Name or Badge Number) __________________________________
Please describe the particular records you are looking to obtain copies of:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
For more information, please review Massachusetts General Law Chapter 4, Section 26, and Chapter 66, Section 10. This request
may require up to ten (10) days for a response.
Be advised that certain records are shielded from public inspection by law, and other records may be temporarily withheld. If this
applies to the records you request, you will be notified of the exclusion in writing.
FEE to be paid prior to research. Motor Vehicle Accident Report = $5.00 for up to six (6) pages, and $.50 for each additional page
(This includes mailing to requestor). Crime, Incident and miscellaneous reports are subject to a fee. Notice of exact fee will be
provided prior to incurring any costs.
Office Use Only:
Rec’d by: _________________________________ Date & Time Rec’d: _____________________________
Date completed: ___/___/____
Fee Charged: $__________
By: ______________________________
===============================================================================================

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