Police Report Request

About This Form

The MGDPA provides that the City must maintain all Government Data in a manner that makes it easy for public inspection and access. To inspect data or request copies of data that the City maintains, a written request must be submitted in a form as required by the City.

Body Worn Camera (BWC) video requests MUST be made in person. BWC video is considered private and confidential under Minnesota State Statute 13.825.

Request Details

Name

First NameLast Name

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Area CodePhone Number

Government Requests Only

Requesting LE Agency Name

Provide Your Agency Corresponding Case Number

Government Agency Name

Requesting parties are not required to provide the above contact information. Requests cannot be accommodated if there is no contact information provided. Staff will begin gathering data upon submission of this form. Pursuant to M.S. § 13.04 if the requestor is the subject of the data, the City must respond within 10 business days of the request, excluding Saturdays, Sundays and City holidays. If the requestor is not the subject of the data, the City must respond in an appropriate and prompt manner, which is within a reasonable amount of time depending on the nature and extent of the request. The city will communicate with the requestor regarding the nature of the request and what an appropriate response time may be.

I am requesting access to data in the following way (select all that apply).

InspectionCopiesSummary Data

Data Requested

Police Incident Report (ICR)Other City Data

Case Number (if applicable)

Describe the data you are requesting as specifically as possible (date, time, location, names and dates of birth of involved parties).

Please attach relevant documents

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