Bastrop County Sheriff’s Office
200 Jackson Street Bastrop, Texas 78602 Office: (512) 549-5100 Fax: (512) 549-5195
Law Enforcement Record Request
FEES: By submitting this request, I understand and agree to pay for my request based on the fee schedule outlined in
the Texas Administrative Code and the Local Government Code. I also understand that if the total cost is going to be
more than $40.00, an itemized statement will be provided in advance of the request being processed. Reports cannot
be faxed. They may be purchased in person at the above address or we will mail the report to your address
upon receipt of payment.
The following fee schedule is an example
of fees charged for records by this office:
Reports: $5.00 first page, $1.00 each additional page
Other records: 1-50 pages $0.10 per page
51 pages or more: $18.00 per hour plus $0.10 per page
Oversize paper: $0.50 per page; specialty paper: actual cost
Electronic Data: CD $1.00, DVD: $3.00
Postage and shipping: actual cost
Requestor’s Information:
Name:
Phone:
Address:
Email:
City, State:
Zip:
Please complete the following information about the records you are requesting, being as specific as possible.
Clarifications may be requested, resulting in a delay of delivery. If additional space is needed, please attach
additional page(s).
Description of Requested Records:
Case Number (if known):
Date of Incident:
Location of Incident :
Provide details regarding information you are requesting:
Office Use Only
Requestor’s Signature:
Date:
Initials
$
Date