Request for Public Information Records If you are human, leave this field blank. Requestor's Information Full Name * Date of Request * Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip * Email Phone # * Delivery Method * Email Mail Fax Pick Up Delivery Email * Delivery Fax # * Request Details Please provide us as much of the following in order to identify related documents: Case Number(s) Date of Occurence * Type of Incident * Location/Address * Parties involved Last Name First Name DOB DL# SS# Address Add Remove Information Requested Select ONE of the following (selecting more than one will result in clarification letter being mailed which will delay processing of your request) Information Requested * THE PUBLIC INFORMATION VERSION OF INCIDENT REPORT CRIMINAL OFFSENSE REPORT OTHER. PLEASE IDENTIFY REQUESTED INFORMATION AS FOLLOWS:OTHER. PLEASE IDENTIFY REQUESTED INFORMATION AS FOLLOWS: THE PUBLIC INFORMATION VERSION OF INCIDENT REPORT - Contains a summary of the crime, the complainant's name, address, date, time and location of the incident, the responding Officer's name(s), and the incident number. This report generally includes all the information needed by an insurance company if you need the report for a claim. Typically provided to requestor in 7 – 10 business days at no charge. Failure to select this option will result in documents being sent to Texas Attorney General for Opinion on release of relevant documents and will take approximately 60 days to complete. CRIMINAL OFFENSE REPORT - Normally only available if case closed and conviction entered (someone was arrested, convicted and received jail/prison time and/or deferred adjudication and/or a fine) or if case closed and inactive. If this option is selected and the status of the case fails to meet the requirements as noted above, the request will be forwarded to the Texas Attorney General's Office for a ruling as to whether or not we can release the full report, a process which takes approximately 60 business days. Charges for copies will be billed as outlined by Texas Attorney General’s Office. Note: Selecting “OTHER” may result in documents being submitted to Texas Attorney General’s Office for a ruling as to if documents may be released, a process that will take approximately 60 business days. Charges for copies will be billed as outlined by Texas Attorney General’s Office. Authorization Authorize Redaction I agree and authorize redaction of confidential information as provided under the Texas Public Information Act. Note: failure to select may cause delay in release documents Digital Signature of Requestor (Type full name) * Click the box below to prove you are a human: Section 552.001 of the Texas Government Code provides that public information is available to the public during the normal business hours of the government body. The officer for public information will respond to your request within ten (10) business days after the date the information was requested. Department Use Only
