Records Request Form

Case Number

Date From

Date To

Victim Name

Date of Birth

Complainant’s Name

Incident Address

City

State

Zip

Identify the Records You Seek*

Accident Report, Call for Service, Etc. To allow us to expedite your request, please be as specific as possible when describing the records you are seeking (time, date, names of individuals involved). If you cannot identify a specific record, you should clearly explain the type of records you are seeking from what time-frame and what subject matter the records should contain.

The requesting person is liable for any further dissemination of information contained in the report.

First Name*

Last Name

Phone*

Email Address

Mailing Address

Address2

City

State

Zip

Processing Fees Breakdown Report (FOAA) 1-7 pages: $12 (each additional page after 7: $1) Routine accident reports: $12 Color photos on printed paper: $2 each Nonpaper requests (VHS,DVD,CD, Audiotapes): $25 each media form

Payment must received before a report can be released, unless other satisfactory arrangements have been made with the records clerk. Processing Time: 7-10 Business Days Payments: Cash Checks - Made to the Cumberland County Sheriff’s Office Payment Due at Time of Pick-Up or Prior to Mailing Available Pick-up Times: Monday - Friday: 8 a.m. - 4 p.m Closed All Major Holidays

Please Note Some reports may not be available at the time of this request.