Emergency Support Services
1101 Carmichael Road | Hudson WI 54016
Telephone: 715-386-4751| Fax: 715-386-4720
OFFICE USE ONLY
OPEN RECORDS REQUEST
Pursuant to Wisconsin’s Open Record Act – Wis. Stat. §§ 19.21-19.39 – http://www.legis.state.wi.us/rsb/stats.html
Requester’s Name (Optional) Requester’s Agency (Optional)
Requester’s Address (Optional)
Requester’s Phone (Optional) Requester’s email (Optional)
Date of Incident
Approx. Time (or time range) of Incident
Brief Description of Call
Indicate Type of Incident (Domestic, Traffic, Medical, ETC.
Location of Incident (Street Address or Cross Street, City or Town if known)
RECORDING AND COPY REQUEST
Please check all recordings/copies you are requesting
Audio – All Related Phone & Radio Traffic
Reports – CAD (Computer Aided Dispatch)
ESS has no fee for open record requests received and fulfilled electronically via email. Non-electronic public requests for reports and
recordings will be released only after payment has been received (CD/Flash drive $7.00ea, CAD reports/.25 per page). Make checks
payable to: St. Croix County Emergency Support Services. Mail to: 1101 Carmichael Road, Hudson, WI 54016
Be advised the Driver’s Privacy Protection Act (DPPA) protects the privacy of personal information assembled by the State Department of
Motor Vehicles (DMV). Therefore, all personal information will be redacted unless an exception exists. Permitted exceptions are found in
the DPPA’s Permissible Uses Form which must be completed and accompany this request if you wish to receive a non-redacted record.
Non-redacted copies may also be obtained through a court order.
Authorized by agency/department supervisor __________________________________________________________________________
