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Seal Beach Police Department (City of Seal Beach)

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BROWSE CITY OF SEAL BEACH (CA) FORMS

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SBPD2011

Seal Beach Police Department

REQUESTFORRELEASEOFRECORDSINFORMATION



Date: Dateofincident: Case#:

Locationofincident:



APPLICANTINFORMATION

Name: DOB:

Address:

HomePhone: CellPhone:

Agencyrequestinginformation:

Applicant

Identifier

Information

Victim Suspect Driver Other:

Passenger Insurance Attorney

Parent/Guardian PoliceOfficer Probation/Parole

Information

Requested

CrimeReport IncidentReport CallLogs Other:

AccidentReport Photographs 

Reasonfor

Information

Court Investigation Other:

Attorney Insurance 

Certification

IcertifythatunderpenaltyofperjurythatIam,orrepresentthepartyofinterestidentifiedinthe

informationlistedhereon.

Signature: Date:



RECORDSDEPARTMENTUSEONLY

IDVerified

Yes No

FeesPaid

Yes No N/A

Authorization

Approved Denied

Howinformationwasreleased

Inperson Fax Mail Viewed

Reasonfordenial



Disclosurewouldendangerthesuccessfulcompletionoftheinvestigation.



Disclosurewouldendangerthesafetyofawitness.



Applicantisnotan“involved”party



Other

Recordsrequestreceivedby: Approved/Deniedby: Recordsreleasedby:

Date: Date: Date:

Print Form

SBPD2011

REQUESTFORRELEASEOFRECORDSINFORMATION

Inordertoproperlyassessyourrequestforacopyofawrittenreport,youhavebeenprovidedwiththis“Requestforreleaseof

records”form.Pleaseanswerallofthequestionsandchecktheboxesthatpertaintoyou.Thiswillreducetheunnecessarydelayin

theprocessingofyourrequest.Allrequestsaretobesubmittedwithoutpaymentuntilthereleasehasbeenofficiallyapproved.You

willbecontactedwithin6workingdaysoftherequestbyourrecordspersonneltomakearrangementsforapickupandpayment.



TRAFFICCOLLISIONREPORTS

GuidelinesforthereleasearegovernedbytheStateofCaliforniaVehicleCodesection20012.Ifyouarerequestingacopyofatraffic

accidentreport,youmustbeoneofthefollowing:



• Aninvolveddriver.

• Theguardianorconservatorofadriverinvolved.

• Theparentofaninvolvedminor.

• Theauthorizedrepresentativeofadriver.

• Anassociatedinjuredparty.

• Theownerpropertydamagedbytheaccident.



CRIMEANDINCIDENTREPORTS

GuidelinesforreleasingcopiesofcrimereportsaregovernedbyGovernmentcodesections6254and6254(f)whichcontainthe

regulationsforthedistributionanduseofcrimereportstakenasaresultofarson,burglary,fire,explosion,larceny,robbery,

carjacking,vandalism,vehicletheftandcrimesofviolence.Thissectionalsoidentifiesthefollowingpartiesasthosetowhoma

policeagencyisrequiredtoprovideinformation:



• TheVictim.

• Theauthorizedrepresentativeofthevictim.

• Aninsurancecarrieragainstwhichaclaimhasbeenormightbemade.

• Anypersonsufferingbodilyinjuryorpropertydamageorloss.



However,thisGovernmentCodesectionsalsoprecludesreleasinganyinformationorcopiesofreportsifthedisclosurewould

endangerthesafetyofawitnessorotherpersoninvolvedintheinvestigation,orendangerthesuccessfulcompletionofthe

investigationorarelatedinvestigation.



ThenamesandaddressesofvictimsorwitnessesdefinedbyPenalCodesections261,264,264.1,273a,273d,273.5,286,288,288a,

289,422.6,422.7or422.75shallnotbedisclosed.



ARRESTREPORTS

Contactthecourt.



JUVENILEREPORTSANDCONTACTS

JuvenileinformationincludesANYdocumentrelatingtojuvenilecontactsorarrests,evenifjuvenilecourtproceedingswerenot

institutedincludingrecordsoftemporarycustodyanddetentionofaminor.WelfareandInstitutionscodesection827providesthe

JuvenileCourtwiththeexclusiveauthoritytodeterminewhom,and,theextenttowhichjuvenilerecordinformationmaybe

released.Releaseofjuvenileinformationrequirestheexpresspermissionofthepresidingjudgeofthejuvenilecourt.



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Completed 16 July 2020

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