Fillable PICKENS COUNTY 9-1-1 REQUEST FOR INSPECTION/COPYING OF PUBLIC (Pickens County Government)

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PICKENS COUNTY 9-1-1 REQUEST FOR INSPECTION/COPYING OF PUBLIC (Pickens County Government)

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PICKENS COUNTY 9-1-1
REQUEST FOR INSPECTION/COPYING OF PUBLIC RECORDS
Revision Date: May 2016
To be completed by person requesting documents
Date: __________ Time: ___________ Name: __________________________________
Mailing Address: _________________________________________________________
Business Phone: ___________________________ Home Phone: ___________________
Description of records (s) requested
Copy of Logs________ Copy of Tape________ (Telephone Traffic________ Radio Traffic ________)
Case Number: ______________________ Date: ___________ Time: From_________ To_________
Location of Incident: _____________________________________________________________________
Nature of Incident: ______________________________________________________________________
Department(s) Involved: __________________________________________________________________
Reason for Request: _____________________________________________________________________
Requested under Subpoena_________ Requested under O.C.G.A. 50-18-70 Open Records: ____________
Give as much detailed information as possible to help in locating the appropriate call:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
NOTICE: Tapes are archived for 3 years. Request for copies of any tape over 3 years may not be available.
A written response to your request will be available within three business days as a statement of allowable
costs, if any, for retrieval and copying. There is a charge for the cost of the tape if a tape copy is requested
and .10 cents per copy of any log or printed record. There is also a charge for employee’s time ($20.00 per
hour) if retrieval/copying exceeds 15 minutes.
To be completed by 911 staff
Received By: _________________________________Date/Time: __________________
Copied By: __________________________________ Date/Time: __________________
Charges: $____________________________________Paid:_______________________
Comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
To be completed by person requesting documents
Received By: ________________________________Date/Time: ___________________
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PICKENS COUNTY 9-1-1 REQUEST FOR INSPECTIONCOPYING OF PUBLIC (Pickens County Government)

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Completed 6 August 2020

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