Public Release Request
DATE REQUESTED: ___________________
I,____________________________________________, do hereby make application for
inspection/duplication of the following public release records of the Longview Police Department:
CASE NUMBER: _____________________________________________________________________
NAME OF VICTIM(S) :_________________________________________________________________
NAME OF SUSPECT(S): ________________________________________________________________
NAME OF INVOLVED PARTY(IES):________________________________________________________
TYPE OF RECORDS REQUESTING:________________________________________________________
DATE OF INCIDENT: __________________________________________________________________
LOCATION OF INCIDENT:_______________________________________________________________
**THIS IS A REQUEST TO RELEASE ONLY PUBLIC INFORMATION FROM POLICE REPORTS**
REQUESTOR INFORMATION
PRINTED NAME: ____________________________________________________________________
PHONE NUMBER: ____________________________________________________________________
ADDRESS: ____________________________________________________________________
____________________________________________________________________
EMAIL ADDRESS: ____________________________________________________________________
I agree to accept these records as is, with only immediately releasable public information included. I
understand if I want the full record, I must submit an Open Records Request in writing.
Signed:________________________________ Date: _________________
Once your request is complete please feel free to submit it in the following ways. Be advised that
this request is for information readily available to the public and not a complete report.
Fax: 903-757-5560
Email: LPDOpenRecords@longviewtexas.gov
Mail: Longview Police Department, ATTN: Records, P.O. Box 1952, Longview, TX 75606
