Fillable Paradise Valley Police Department (Town of Paradise Valley)

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Paradise Valley Police Department (Town of Paradise Valley)

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Paradise Valley Police Department
Public Records Request
6433 E Lincoln Dr
Paradise Valley, AZ 85253
Phone: 480-948-7418
Fax: 480-998-0877
Email: PoliceRecords@paradisevalleyaz.gov
Please indicate what type of public record you are requesting. Check all that apply:
Police Report Accident Report Photographs
Body Worn Camera 911 Call Recording Other
Please provide as much information as possible to help us identify and locate the information being
requested.
Incident Report Number(s):
Name of person(s) involved:
Date of Incident:
Location of Incident:
Other:
Pursuant to ARS 39-121.03, the applicant certifies that the documents (check one):
Will NOT be used for a commercial purpose.
Will be used for a commercial purpose. A certified statement meeting the requirements
listed at the end of the application must accompany the request.
Applicant Name (print):
Address:
Email Address:
Phone Number: Date:
When the report is ready how would you like to be contacted (check one)?
Email Phone
I certify that all information provided in this request is true and correct.
Applicant Signature
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signature
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Payments
The Town of Paradise Valley accepts cash, business checks and credit cards except for American
Express.
Commercial Use
Arizona Public Records Law, ARS 39-121.03 et seq requires that persons requesting records for a
commercial purpose must provide a certified statement setting forth the commercial purpose for
which the records are requested. As used in this section, commercial purpose is defined as: “the
use of a public record for the purpose of sale or resale or the purpose of producing a document
containing all or part of the copy, printout or photograph for sale or the obtaining of names and
addresses from such public records for the purpose of solicitation or the sale of such names and
addresses to another for the purpose of solicitation or for any purpose in which the purchaser can
reasonably anticipate the receipt of monetary gain from the direct or indirect use of such public
record.”
A person designating a non-commercial purpose is certifying that the request is not made for
business, monetary, economic, commercial or trade reasons, and that neither the requester nor
the person which may utilize the information contained in the record as a result of access by the
requester will receive economic benefit or gain from utilization of information contained in the
record.
An individual who knowingly falsifies his certificate for a document under these provisions is guilty
of a Class 6 Felony. Further, any person who obtains a public record for a non-commercial
purpose and uses or knowingly allows the use of such record for a commercial purpose or who
obtains a public record for commercial purpose and uses or knowingly allows the use of such
public record for a different commercial purpose or who obtains a public record from anyone
other than the custodian of such records and uses them for a commercial purpose shall be liable
to the state or the political subdivision for the amount of three times the actual damages if it can
be shown that the public record would not have been provided had the commercial purpose or
actual use been state at the time of obtaining the records.
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Paradise Valley Police Department (Town of Paradise Valley)

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Completed 14 July 2020

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