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THORNTON POLICE DEPARTMENT (City of Thornton)

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THORNTON POLICE DEPARTMENT
Request for Criminal Justice Information
YOUR PRINTED NAME
TODAY’S DATE
CASE REPORT#/REFERENCE # (Leave blank if unknown)
ADDRESS
CITY
STATE
ZIP
HOME PHONE
WORK PHONE
CELL PHONE
DATE OF BIRTH
EMPLOYEE #
FAX#, ADDRESS OR E-Mail ADDRESS
CITY
STATE
ZIP
SECTION 1
FOR EACH INCIDENT REPORT, PHOTO, DISPATCH CHRONOLOGY, 911 AUDIO/RADIO OR
ADDRESS SEARCH REQUEST the research & redaction time is billed in accordance with City of Thornton
Administrative Directive 3-6 (4.7a). See reverse bottom of this form. THE RESEARCH FEE FOR
POTENTIAL EVENT CCTV FOOTAGE IS A NON-REFUNDABLE $50.00
TYPE OF
REQUEST
Report
$5 for 1
st
5 pages &
25¢ per additional page
Report stored off-site
retrieval additional
charge of $35.00
Additional $1.00 per
page if Certified
Photos $15.00
Address Search
$1.00 per page
Each Dispatch CD:
$50 deposit + $10 material fee =
$60.00 each
911 Audio CD
Radio Traffic CD
Dispatch Chronology
$1.00 per page
Sex Offender
Registry
CCTV
Surveillance
$50.00 non-refundable
TYPE OF REPORT
ARREST/CITATION
INCIDENT REPORT
TRAFFIC ACCIDENT
OTHER please specify:
DATE OF INCIDENT: (Estimate if necessary)
TIME OF INCIDENT: (Estimate if necessary)
SECTION 2
FOR CLEARANCE LETTER (THORNTON POLICE RECORDS BACKGROUND CHECK)
FULL NAME
DATE OF BIRTH
FULL NAME
DATE OF BIRTH
SECTION 3
PECUNIARY GAIN AFFIRMATION
Rev (11/21/19)
THORNTON POLICE DEPARTMENT
Request for Criminal Justice Information
SECTION 4
REQUEST FOR EACH DISPATCH
CHRONOLOGY OR RECORDING
TYPE OF REQUEST:
911 (AUDIO) (180 Day retention from incident date)
Radio Traffic (AUDIO) (180 Day retention from incident date)
Dispatch Chronology (Events prior to 03/02/2009 may be obtained from
Adams County Communications Center (ADCOMM)
CCTV Surveillance (180 Day Internal/60 Day External Recording Retention)
NOTE: Not all areas of the department are under video/audio surveillance. There is
no guarantee that an event has been recorded.
For Each Incident - Dispatch CD $50 Non-Refundable Deposit plus $10 Material Fee = $60.00
EVENT NUMBER
CASE NUMBER
DATE OF INCIDENT
TIME OF INCIDENT
TYPE OF INCIDENT
EVENT LOCATION
PRIMARY OFFICER
REDACTIONS REQUESTED
NO REDACTION REQUIRED
REDACTION REQUIRED
UNABLE TO RELEASE
CCTV Surveillance Requests Only
CAMERA LOCATION
LOBBY FRONT PARKING LOT
INVOLVED PARTY/VEHICLE
DESCRIPTION
PROVIDE A DETAILED DESCRIPTON SO WE CAN LOCATE THE APPROPRIATE PARTIES AND VEHICLES INVOLVED IN THE VIDEO
PURPOSE OF VIDEO
REQUEST
CHILD EXCHANGE
OTHER:
DESCRIBE THE INCIDENT WITH SPECIFIC DETAILS REGARDING WHAT YOU ARE TRYING TO CAPTURE IN THE VIDEO. INCLUDE PRECISE
LOCATION OF THE AREA YOU WANT A VIDEO OF (I.E. SIDEWALK, PARKING LOT, FRONT DOOR OR LOBBY SEATING)
POLICE RECORDS UNIT RECEIVED REQUEST
NAME:
DATE & TIME
CIRCLE SENT TO: COMM CENTER /
EVIDENCE / RADIO VIDEO TECH /
PROFESSIONAL STANDARDS CMDR
NAME:
DATE & TIME
COMM CENTER RECEIVED REQUEST
NAME:
DATE & TIME
COMM CENTER RETURNED TO POLICE
RECORDS UNIT MAILBOX/INBOX
NAME:
DATE & TIME
RADIO VIDEO TECH COMPLETION & NOTES
GIVEN TO PROFESSIONAL STANDARDS COMDR
NAME:
DATE & TIME
PROFESSIONAL STANDARDS CMDR REVIEW
NAME:
DATE & TIME
Administrative Directive 3-6
4.7 a) Any records request that can be produced in an hour or less shall not include a charge. Research and retrieval time beyond one hour shall be charged at a rate of $33.58 per
hour in accordance with CORA. In addition, requestors shall be charged the actual costs for printed copies or hardware supplied by the City such as USB drives.
4.7 d) For a Records request that requires a time/cost estimate, any records request that will take more than five hours requires a 20 percent deposit prior to any additional
research and retrieval. Work on any records request that will take more than five hours shall not commence until a deposit is received.
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THORNTON POLICE DEPARTMENT (City of Thornton)

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Completed 16 July 2020

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