SANTA BARBARA COUNTY SHERIFF’S OFFICE
REPORT REQUEST FORM
Crime Report Accident Report Citation
Other
Report Type:
Report/Citation Number:
Date of Report/Citation:
Location of Report/Citation:
Reason for Request:
Requesting Party:
Victim Victim Representative
Attorney Parent/Guardian of Juvenile Victim
Property Owner Insurance Company
Law Enforcement Agency Driver/Passenger
Other
CERTIFICATION: I declare under penalty of perjury that
I am the party of interest identified in the report recorded hereon.
I represent the party of interest identified in the report recorded heron.
Print Name: Signature:
Date: Contact Number:
RECORDS USE ONLY
Request Received By: Date Received:
Request APPROVED By:
Request Picked Up By: Signature:
Contact Number: Date:
Request DENIED By:
Reason for Denial:
Case still under investigation
Case is "Protected Information"
Notified By: Date/Time:
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