Public Records Request Form - Canyon County Sheriff'S Office
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1
2Canyon County Sheriff’s Office
PUBLIC RECORDS REQUEST FORM
1115 Albany St., Caldwell, ID 83605
Phone: (208) 454-7488 / Fax: (208) 454-7476
Email:
REQUESTER INFORMATION
Requester’s name:
Date:
Requester’s identification provided (please check if any):
Preferred method of delivery (please
Driver’s license
check):
State identification card
Passport
E-mail
Other: ______________
U.S. mail
Records about yourself:
Fax
□ Copy of government-issued photo identification for verification purposes attached.
In-person pick-up
Records about a person for whom you serve as legal representative:
Other:
□ Copy of government-issued photo identification for verification purposes attached.
_________________________
□ Upon penalty of perjury, I hereby swear or affirm that I am the legal representative of
Name:_______________________________________________________________
Note: We cannot always guarantee a certain
method of delivery, depending on quantity,
Note: Identification is not required. However, if you are requesting records about yourself and/or your
type, and/or format of records requested.
minor child, ward, or other person for whom you serve as legal representative, you may be entitled to
E-mail is generally the quickest and most
certain private information about yourself or that other person that would otherwise be redacted from
cost-effective method when available.
public review unless we are able to verify your identity.
Requester’s signature:
Street:
City:
State:
Zip:
Date of birth:
Driver license number:
E-mail:
Phone number:
Fax number:
RECORDS REQUESTED
Police/accident report number(s):
Court case number:
Date of incident:
Subject Identifying Information: (Such as Social Security Number,
Subject’s name:
Date of Birth, Driver License Number, etc.)
(Note: Please be specific about the records you are requesting. Requests for large amounts of information may require payment of a fee pursuant to
Idaho Code § 74-102 before you receive the records.)
Most recent booking sheet
Photographs
Records requested:
Arrest history for
Narrative report
Other: ___________________________
CCDC (adult arrests only)
Witness statements
Description of requested information:
Rev. 9/6/17
RELEASED AT COUNTER BY: ___________________________________________ DATE: _____________________________
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