Fillable Publicrecordreq.form .ltr .police December 18, 2002

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Publicrecordreq.form .ltr .police December 18, 2002

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FOREST GROVE POLICE DEPARTMENT
FOREST GROVE POLICE ● 2102 Pacific Avenue ● Forest Grove, OR 97116 ● www.forestgrove-or.gov ● PHONE 503-992-3260 ● FAX 503.359-3519
amount of the fee
FIRST & LAST NAME or ORGANIZATION (Please print)
DATE OF REQUEST
MAILING ADDRESS
CITY STATE ZIP CODE
DAYTIME TELEPHONE
EMAIL ADDRESS
SIGNATURE (Required):
PREFERRED DELIVERY METHOD (Fees apply):
E-MAIL MAIL OR FAX VIEW ON SITE
DESCRIPTION OF RECORDS: (Please be specific)
Case Number:
Date of Incident:
Location of Incident:
Name of Involved Party:
Date of Birth:
Name of Involved Party:
Date of Birth:
OTHER PERTINENT INFORMATION THAT WOULD HELP NARROW THE SEARCH: (Please be specific)
FEE SCHEDULE: Effective July 1, 2019
SEND REQUEST TO:
$18.25, plus $0.20 per page over 10 pages
Forest Grove Police Department
$6.75
Attn: Records
$95.50 first 10 minutes, $79.60 each additional
2102 Pacific Avenue, P. O. Box 326
$26.00 per disc (up to 30 photographs)
Forest Grove, OR 97116
$6.75 per sheet
503-992-3260 Fax 503-359-3519
$65.00 per hour (15-minute increments)
E-mail to: pdrecords@forestgrove-or.gov
Hours: Monday – Friday, 8am – 4pm
FOR OFFICE USE ONLY
Copies Provided:
Yes No
Total Fees Paid:
Case Number:
Employee Signature:
Other Notes:
Date:
Copy – Admin. Commander
PUBLIC RECORDS REQUEST
PURSUANT TO OREGON PUBLIC RECORDS LAWS, §192.410-192.505
Attention Requester: This form is required if requesting to inspect or obtain copies of public records held by the
Forest Grove Police Department. To expedite your request, please complete all the information below.
The City shall respond to public record requests within five (5) business days acknowledging receipt of the
request. If the time required to provide a respond exceeds 10 business days, the requester will receive written
notification. If records are exempt from disclosure, specific reason(s) will be provided. Notification will be
provided if the estimated cost is greater than $25.
Oregon law provides that the City can require the requester to cover the costs of summarizing, compiling
and/or tailoring public records, as well as actual costs of time spent by City staff and/or City Attorney
searching, locating, reviewing, redacting, copying, certifying and/or sending records.
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Publicrecordreq.form .ltr .police December 18, 2002

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Completed 12 July 2020

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