[PDF] [PDF] Police Record Release Card (2003) - City of Springfield

[PDF] Police Record Release Card (2003) - City of Springfield

Springfield Police Department Records Section 130 North Fountain Avenue, Springfield, Ohio, 45502 (937) 324-7611 Request for Public Information

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Springfield Police Department Records Section

130 North Fountain Avenue, Springfield, Ohio, 45502

(937) 324-7611Request for Public Information Motor Vehicle Accident ReportPolice Incident Report

Local Police Records CheckPhotographs

X Other: (Describe in Detail)__Return to City of SpringfieldPlanning & Development Dept. RE: Contractor Registration______________________________________________ I,_________________________________________________________________________ residing at _____________________________________________________________________________ request

public information as indicated upon this form. I understand the ability to produce the public information

requested may depend upon the information provided by me. I also understand the information I have

provided and the time and manner of my request may affect the time and the costs involved in providing

the information. __________________________________ _____/______/______Complete Name -Please Print

Complete Address -Please Print

SignatureDateInformation needed to accurately complete a person's local police record check: Name (first, middle, last): ________________________________________________________________ Age: ______. Date of Birth: ______/______/______. Social Security Number: _____________________.

Maiden or Other Names Used: ____________________________________________________________.Fees Must Be Paid In Advance

The first local police record check, or like request received from any person, business, or association each regular business

day of the City is free. The second and all additional requestsreceived for any such items each regular business day is 10

cents per 'black and white' single-sided page.

Digital photographs: 10 cents per image/page. Photographic prints or 'contact' sheets are 35 cents per print/sheet.

Fingerprint cards: for any personal use are $5.00 for the first card and $2.00 for each additional card produced at the same

time. Passport or visa letters: $5.00 each (per person).

Any requests for copies of any public information not included in this list of fees will generally be 10 cents per page or the

City cost of the transmittal medium. Commercial interests requests for elements of public information are handled in

accordance with law and policy. If you need more information, please ask before you submit your request.

Mail Requests: require a stamped (we recommend double the normal postage), self-addressed full sized business envelope

and any required fees before we will initiate any response to the request. Make Checks Payable to : The City of Springfield, Ohioquotesdbs_dbs20.pdfusesText_26