Fillable Glendale Police Department Public Records Request Admonition/disclaimer Form printable pdf download

GLENDALE POLICE DEPARTMENT

Public Records Request Admonition/Disclaimer

Any request for reports, arrest records, photos, video/audio, or crime analysis statistical products

requires a written request

To better serve you, and in order to expedite your request, we ask that you please complete and submit the original of the public

records request form once you have completed it.

You may submit this form by mailing to the address below, or

bringing it in-person to the Glendale Police Department information desk during normal work hours.

Glendale Police Department / Records Division

6835 N 57th Drive

Glendale, AZ 85301-2599

(623) 930-3100

Under provisions of Arizona’s public records law (A.R.S. §39-121, et seq.), it is requested of the Glendale Police

Department to release the requested public records to me. By signing the request, I am verifying under

penalty of perjury that these public records will not be used for commercial purposes.

Commercial Purpose is defined as: “the use of a public record for the purpose of sale or resale or for the purpose of

producing a document containing all or part of the copy, printout or photograph for sale or the obtaining of names

and addresses from public records for the purpose of solicitation or the sale of names and addresses to another for the

purpose of solicitation or for any purpose in which the purchaser can reasonably anticipate the receipt of monetary

gain from the direct or indirect use of such public record.”

If your request is for Commercial Purposes, contact the Glendale City Attorney’s Office located at 5850 West

Glendale Avenue, Glendale, AZ 85301 (623-930-2930). The Commercial Purpose Public Request form is also

available on the City of Glendale website at All Commercial Purpose Public Records Request

forms must be submitted to the Glendale City Attorney’s Office.

Under penalty of perjury, I hereby declare the public records requested will not be used for Commercial

Purposes.

Caution: Arizona Revised Statutes §39-121.03(C) provides: "A person who obtains a public record for a commercial purpose without indicating the commercial

purpose or who obtains a public record for a noncommercial purpose and uses or knowingly allows the use of such public record for a commercial purpose or

who obtains a public record for a commercial purpose and uses or knowingly allows the use of such public record for a different commercial purpose or who

obtains a public record from anyone other than the custodian of such records and uses it for a commercial purpose shall in addition to other penalties be liable to

the state or the political subdivision from which the public record was obtained for damages in the amount of three times the amount which would have been

charged for the public record had the commercial purpose been stated plus costs and reasonable attorney fees or shall be liable to the state or the political

subdivision for the amount of three times the actual damages if it can be shown that the public record would not have been provided had the commercial purpose

of actual use been stated at the time of obtaining the records."

Fill in the Public Records Request Form and sign it. Any requests received that are

not filled out legibly and completely will be rejected

The Glendale Police Department reserves the right to charge for services rendered in

answering your request!