911-form

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Request for Incident Documentation

Documentation Fees:
In accordance with Douglas County Resolution No. 2012R-030
Subpoena:  Defense Attorney (except DA) $25.00 (whole subpoena) 

Citizen Requests: 
a. Documentation (2 certified copies) $5.00 
b. Audio (1 DVD) $10.00; $5.00 ea Additional 

Payment Information: 
Money Order or Bank Cashier's Check only - made payable to Douglas County 911 Emergency Services.
No personal checks or cash.
No cost to County Departments or user agencies of DC 911 Emergency Services

Today's Date:     Date Required By:      

Requestor's Name and Agency: 

Contact Number:

Requestor's Address:  

City:    

State: Zip Code:       

Case # or Call for Service #:  

Number of Audio CD's Requested:

Incident Date and Time:            

Call for Service (CFS) Requested:

Radio/Telephone/Specific Information:

 

Recieve Email Copy:

Email Address:



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