Putnam Police Dept: Records Release Request

Please understand we will do everything possible to assist the public while also following all records retention/disposition guidelines. All requests are subject to postponement or denial due to individual case circumstances.

Records will be released for a fee of .50 cents per page and $5.00 per color photo (if applicable). Once a request is completed, the Records Specialist will be in contact to provide the exact cost.
Case Number
Date of Incident*

MonthDayYear
Date
Report Being Requested*
Location
Name(s) Involved
Name of Requestor*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
The information provided in this report is intended solely for your use. Any other use of this information would be your decision and at your own risk. By signing this release form you agree to this statement.
Requestors Signature*

Clear
Date of Request

MonthDayYear
Date
Should be Empty: