DeSoto Police Department
Open Records Request - Body Camera Recordings
Requestor Name: __________________________________________
Address: ___________________________________________________
Date: ________________________
Phone: ______________________
*Date and approximate time of the recording:_______________________________________________
*Specific location where the recording occurred: ____________________________________________
____________________________________________________________________________________________
*Name of one or more persons who are the subject of the recording:_________________________
For Administrative Purposes Only
I understand that this is an Official Government Document and subject to any criminal or civil penalties for
providing false information or documentation to obtain the requested item(s). Further, I acknowledge that there is
a charge of $10.00 per recording for this request and an additional fee of $1.00 per full minute of body worn
camera video or audio footage for this request, with limited exceptions.
Deadly force by police officer?
Check3Check4Check5Check6Check7Check8Check9Check10
If yes, all criminal matters finally adjudicated/admin investigations closed?
Withhold under 552.108 of Government Code?
Information that is or could be used as evidence in a criminal prosecution?
Withhold under 552.301 of Government Code?
Exception to disclosure under Chapter 552, Government Code or other law?
Conduct misd/fine only without arrest?
Recording conf. because not required to be made or serves no LE purpose?
Applicable Fees: _______________________________
Date Completed:_______________________________
Released to: __________________________________
Released by: __________________________________
BWCORR (ADM) (10-17)
The Occupations Code section 1701.661 requires all of the information requested below submitted by the
requestor for body camera recordings (items marked with *). Failure to provide all of the information
required is cause to deny fulfillment of the request. Further, the law enforcement agency may withhold
information that is or could be used as evidence in a criminal prosecution or that is subject to any
exceptions to disclosure under the law, or is considered confidential. No portion of a recording may be
released that is made in a private space. A recording may not be released involving the investigation of
conduct that constitutes a misdemeanor punishable by fine only and does not result in arrest, without
written authorization from the person who is the subject of that portion of the recording or, if the person is
deceased, from the person's authorized representative. The agency has twenty (20) working days to fulfill
this request.
Report number or event number if known: ________________________________________________________
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