City of Grove City
Division of Police
PUBLIC RECORDS REQUEST FORM
3360 PARK STREET
GROVE CITY, OH 43123
(614) 277-1714 RECORDS
(614) 277-1717 FAX
policerecords@grovecityohio.gov
Grove City, Ohio, Division of Police, upon request, will release information not exempted from disclosure by O.R.C.
149.43.
A written request is not required, nor are you required to provide your information. A written request will help to
identify, locate or deliver requested records.
We will provide you with all non-exempt requested information within a reasonable amount of time. Record Release
hours of operation are Monday thru Friday 7:30am to 3:30pm. Some requests, in the event of a pending case, may
not be available for release.
A fee of $0.05 per page is charged after the first 24 pages, to cover the cost of duplication. A fee will be charged for
each non-exempted photograph requested. A charge equal to the cost of the media provided to you will be required
for recordings. You will be told the fee total when you are informed that your request is complete.
_____________________________________ ________________ _________________
Name of Person requesting information Home Phone Work Phone
_____________________________________ ________________ _________________
Address Fax Cell Phone
_____________________________________ PLEASE INDICATE HOW YOU WOULD PREFER
Email Address TO RECEIVE YOUR REQUEST.
What type of report are you requesting? Please circle one of the following:
Traffic Crash Report Offense or Incident Report Other
Date of Incident: __________________________________ Day/Time: _____________________________
Location of Incident: ____________________________________________________________________________
Full Names of Involved Parties: ___________________________________________________________________
____________________________________________________________________________________________
Description of Incident: __________________________________________________________________________
_____________________________________________________________________________________________
I accept full responsibility for the information I am receiving and its subsequent use.
________________________________________________ ___________________________________
Signature of Requesting Party Date/Time
***************************************TO BE FILLED OUT BY DISPATCHER AT TIME OF REQUEST**************************************
Received by CIC Dispatcher: _____________________________ Date/Time: ______________________________
Incident Accident or CFS Number: __________________________________________________________________________
Redactions: ___________________________________________ Completed: _____________________________
82.108 Rev. 2015
