Town of Trinity
Information Request Form
Requestor’s Name _______________________________ Date _______________
Mailing Address: _______________________________ Phone______________
_______________________________
Information to be: Picked up _______ OR Mailed ____________
(please check one)
USpecificU information requested (dates required for all police report
Requests):
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Reason information requested _______________________________________
___________________________________________________________________
___________________________________________________________________
Deadline information needed (if any) ___________________________________
Request received by: _______________________ Date ______________
Department Information Requested From: _____________________________
Date information delivered: ________________________
By: ___________________________ Department: ______________________
Public Records
$10.00 for accident reports
$5.00 for incident reports
UIFU readily available
$10.00 per hour if not readily available
$0.25 per page copying fee
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