CITY OF SWEET HOME
REQUEST FOR PUBLIC RECORD
Requestor Agency (if applicable):
Requestor Address, City, State & Zip Code:
SPECIFIC PUBLIC RECORD/INFORMATION REQUEST: (For Police Incidents see next section)
POLICE DEPARTMENT ONLY ~ REQUEST FOR COPIES: Incident Reports can be requested and
picked up at the Police Department or mailed for a fee. Question regarding incidents, copies, etc., can be
directed to SHPD at 541-367-5181.
Check one: Auto Accident Theft/Burglary Other:
Incident Number: Incident Location:
Date of Incident: Time of Incident: Officer:
Person(s) Involved: (only use insured person’s name if the insured person was involved as the
driver/victim):
FORMAT REQUESTED: Photocopy Electronic Audio CD Video
Other (specify)
How would you like to receive the request? Mail (see fee schedule) Will pick-up
FEE CHARGES: See attached Fee Schedule for Public Information & Records charges. There shall
be no charge for the first half hour of staff time to respond to a document request. The cost estimate for
staff time shall be based on the staff person’s regular hour wage rate multiplied by the time estimated to
respond to the request. An additional percentage will be added as compensation for the actual City
benefits received by the staff person. An “estimated cost” will be provided to the requestor prior to the
public record being processed. A deposit or payment in full may be required prior to processing.
A request for Public Records information can take up to 1 week to process, however we strive to expedite
the process in order to best serve the public. Other than Police Incident Reports or other police document
copies, requested Public Record information will be available for pickup from the City Manager’s Office at
City Hall, 3225 Main Street, Sweet Home, OR 97386 or may be mailed to you for an additional fee. All
items must be picked up within 30 days after notification that the information is ready, otherwise it will be
destroyed, and another request will need to be made.
*Requests can be completed in a timely manner if the data you provide is complete and accurate. We
appreciate your cooperation and assistance in making this process efficient.
Questions regarding Public Records can be directed to the City Manager’s Office at 541-367-8969.
