Public Records Request Form-405956

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PORTLAND POLICE BUREAU

PUBLIC RECORDS REQUEST


In accordance with ORS 192.420, every person has a right to inspect any nonexempt public record. Please use this form to request public records associated with the Portland Police Bureau. This form is for records not found in a police report. THIS IS NOT A REQUEST FOR A POLICE REPORT. YOUR INFORMATION This is the name and information of the requestor. The Portland Police Bureau will be sending the information requested on this form to the name and address listed below. NAME or BUSINESS NAME: ADDRESS: CITY: E-MAIL: STATE: PHONE: ZIP:

WHAT ARE YOU REQUESTING? In the space below please provide exactly what you are requesting. Please be specific. Provide dates, names, locations, reference numbers, etc., anything to assist the Police Bureau in locating the requested record.

There are fees for all requested records. Please contact the Portland Police Bureau Records Division at 503-823-0043 for assistance in determining costs for the records you need. Please allow 21 business days for your request to be processed. Payment must be included in form of check or money order made payable to: TREASURER, CITY OF PORTLAND Mail this form, payment, and a self-addressed stamped envelope to: Portland Police Bureau Records Division 1111 SW 2nd Ave, Room 1126 Portland, OR 97204

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