Request For Access To Records Form - New Westminster Police Department
ADVERTISEMENT
1New Westminster
Police Department
REQUEST FOR ACCESS TO RECORDS
UNDER THE FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT
IMPORTANT INFORMATION - PLEASE READ FIRST
This form MUST be completed in full.
If you are requesting information about yourself, we require a copy of your government issued photo ID (eg.
Driver’s Licence or Passport). No information will be sent to you until we receive your ID.
We do NOT fax copies of police reports. You may make arrangements to pick up the report or we will send it to you
via Canada Post.
Under the Freedom of Information and Protection of Privacy Act, we have thirty (30) business days (excluding
weekends and holidays) to respond to requests for information. We process requests in the order that they are
received. We will NOT make any exceptions.
Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy
Act and will be used only for the purpose of responding to your request.
LAST NAME
FIRST NAME
MIDDLE NAME
☐ MISS
☐ MS.
☐ MRS.
☐ MR.
☐ OTHER
HAVE YOU EVER GONE BY ANOTHER NAME? IF SO, WHAT?
YOUR ADDRESS
STREET, APARTMENT NO., P.O. BOX, P.R. NO.
CITY/TOWN
PROVINCE/COUNTRY
POSTAL CODE
YOUR TELEPHONE/FAX NUMBER(S)
DAY PHONE NO.
ALTERNATE PHONE NO.
DAY FAX NO.
(
)
(
)
(
)
DETAILS OF REQUESTED INFORMATION
WHAT INFORMATION ARE YOU REQUESTING? (Please describe the records you are requesting. Be as specific as possible, as this will assist the request
process. Please attach a separate sheet if the below is not sufficient.)
ARE YOU REQUESTING ACCESS TO ANOTHER PERSON’S PERSONAL INFORMATION?
☐ YES
☐ NO
IF SO, PLEASE ATTACH AS APPROPRIATE:
a) that person’s signed consent for disclosure, or
b) proof of authority to act on that person’s behalf.
YOUR SIGNATURE:
DATE SIGNED (Year/Month/Day):
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business