Criminal Justice Records Request Form

Criminal Justice Records Request Form
Name*

First NameLast Name
Organization requesting the record (if applicable)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please fill in the information requested below as completely as possible to help us find the criminal case you are seeking records for.
Criminal Case Number or Law Enforcement Offense Number (if known):
Date of Incident
Location of Incident
Other Information that may help us locate the Incident you are requesting records for (Defendant/Victim name, etc.):
What criminal justice records are you requesting? Please be very specific.
I have reviewed or will receive and review copies of the records above. By my signature below, I agree that I shall not use the requested information for direct solicitation of business for pecuniary gain and I acknowledge that such a violation is a crime under Colorado Revised Statute 24-72-305.5
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