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2. Glendale Police Department
3. Request for Records
   Fee is 25¢ per page. Cash or credit card. Copies of evidence photos and/or 911 tapes are $25 per CD or DVD
5. My First Name*
6. My Last Name*
7. My Phone #
9. Email Address
11. Name of Party Involved*
12. DOB of Party Involved
13. Case #
15. My Address
17. City
18. State
19. Zip
21. Brief description to help identify the case, i.e. location, date, type of crime, etc.
23. By submitting, I acknowledge that I have read and understand the following:
    24-72-305.5 Access to records - denial by custodian - use of records to obtain information for solicitation. Records of Official Actions and Criminal Justice Records and the names, addresses, phone numbers and other information in such records shall not be used by any person for the purpose of soliciting business for "pecuniary gain". The official custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for pecuniary gain. 24-72-309. Violation – penalty. Any person who willfully and knowingly violates the provisions of the part 3 is guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine of not more than one hundred dollars, or by imprisonment in the county jail for not more than 90 days of both such fine and imprisonment.
27. Type your name as signature*
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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