Request For Copy Of Incident/crime Report Form
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1ALAMEDA COUNTY SHERIFF’S OFFICE
REQUEST FOR COPY OF INCIDENT/CRIME REPORT
Report Number(s): ___________________________
Date and Time of Incident _______________________________________________________________________
Location of Incident ____________________________________________________________________________
Name of Person(s) Involved ______________________________________________________________________
Person Requesting Copy of Report
Your Name: ___________________________________________________________________________________
Address: _________________________________________________
City: _____________________________
State: ___________________
Zip Code: _______________
Tel. No: ____________________________
Check box if your number is blocked
Email Address: ________________________________________
Reason for Requested Report (Check appropriate box)
Domestic Violence Restraining Order (Rush Request)
Insurance Claim
Victim of Crime
Suspected of a Crime
Parent/Guardian of:
Juvenile Victim
Juvenile Suspect
Civil Action
Criminal Action
Other: ________________________________________________________________________________
Government Code Section 6254 et. seq: Certain contents of a Sheriff’s Incident Report may not be deemed public
information and your copy of the report will be edited to comply with provisions of the law.
Penal Code Section 841.5: The Sheriff’s Office is precluded from releasing the address and telephone number of
victim(s) and witness(es) to suspect(s). If you are a listed suspect, your copy of the report will be edited
accordingly. Your attorney may obtain an unedited copy through the court discovery process.
Government Code Section 6253(c): The Sheriff’s Office has up to 10 business days from the time of your request
to determine if the report may be released. Once it has been determined the report can be released, the report will
be released as expeditiously as possible. There is no same day service at this time.
Government Code Section 6257:
The Alameda County Board of Supervisors sets the amount of fees in
accordance with actual costs incurred.
You will be notified by telephone when report is ready for pick-up. Reports must be picked-up between
8:30 a.m. and 4:30 p.m., Monday through Friday, excluding holidays. If desired, the report will be e-mailed or mailed
to the person requesting the report by providing a self-addressed, stamped envelope.
______________________________________________________
__________________________
(Signature of Requesting Party)
(Date)
Office Use Only
Accepted by: ___________________________________________________ Date: ________________________
Approved by: __________________________________________________
Date: ________________________
Prepared by: ___________________________________________________
Date: ________________________
Notified by: ___________________________________________________
Date: ________________________
Picked up by: __________________________________________________
Date: ________________________
Last Update: 05/01/12
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