Date of request: Report #: ___________
BLOOMINGTON POLICE DEPARTMENT
1800 West Old Shakopee Road
Bloomington, MN 55431
Fax: 952-563-4936 Email: police@BloomingtonMN.gov
REQUEST FOR ACCESS TO CLASSIFIED GOVERNMENT DATA
Please allow 7 10 business days to process your request
Last name
First name
Middle
Date of Birth
Address
State
Zip
Signature
Phone number
Relation to case (Victim, Reporting Party, etc.)
Email Address (report may be emailed when possible):
POLICE REPORT
Date occurred:
Type of report/incident:
CAD INFORMATION
Location/Address:
Date of Incident:
(Calls for service)
Type of Incident:
Name/birthdate of person involved if different from above:
Police Report/Computer Report
*Additional fees may apply for searching for, retrieving and compiling data
Pages X $0.25*
Background check (certified)
X $10.
Color booking photo
X $ 4.
Color digital photos on CD
X $5.
Audio/video DVD/CD DWI/Intox
Contact the Bloomington City Attorney’s Office at 952-563-8753
X $60.
Audio/video DVD/CD Squad Car video
Contact the Bloomington City Attorney’s Office at 952-563-8753
X $60.
911 CD (Audio available to caller only)
X $20.
911 Transcription
X 28.
**Data will be redacted according to MN Statute 13.82
Total Due:
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