Police Public Records Request

Print
Press Enter to show all options, press Tab go to next option

Under the provisions of A.R.S. 39-121, Public Records Law, it is requested that the following records be released.

LOBBY HOURS: Monday through Thursday from 8:00 a.m. to 5:30 p.m., excluding holidays.

It can take up to 10 business days to process this request (upon approval from a supervisor for the release).

FEES:

          Reports (including crash reports): $5.00 (up to 10 pages); $10.00 (11-20 pages); $15.00 (21+ pages); $.20/each additional page.

Electronic Media Fees (Minimum Charge + per minute rate):

  • 911 CDs are $10.00 (Minimum) – includes first hour for processing/redaction; $.35/each additional minute required.
  • Photos on CD are $20.00 (Minimum) – includes first 20 photos; $3.35/each additional photo
  • Video are $25.00 (Minimum) per DVD – includes first hour of redaction time; $.67/each additional minute required.

We accept MONEY ORDERS, BUSINESS CHECKS, and (CREDIT CARDS after 03-06-18).

INSTRUCTIONS:

1. Complete this form, printing neatly and providing as much information as possible.  Failure to do so may delay processing.

2. If the report is not available at the time of your request, you will be called and advised when the report will be ready and the cost.

 Download a PDF of this form

Please correct the field(s) marked in red below:

1
Date of Incident:
2
Report Number (9 digits):
3
Location (address) of the incident: 
4
List items you are requesting:
NAMES OF INVOLVED PARTIES:
5
Last Name: 
6
First Name:
7
Middle Name or Initial:
8
Date of Birth:
9
Last Name:
10
First Name:
11
Middle Name or Initial:
12
Date of Birth:

I hereby certify that the requested will not be used for commercial purposes.  I further agree to hold the City of Buckeye, its agents and employees harmless from any claim, causes of action or other liability that may arise as a result of furnishing these documents to me or as a result of my use or misuse of these documents.           

Please provide the following information:

13
Requester's Full Name:
 *
14
Date of Birth:
15
Company Name (if applicable):
16
Address (include street number, street name, city, state, and zip code): 
17
Email Address:
18
Telephone Number:
 *
19
Mobile/Cellular Phone Number:
20
Fax Number:
21
How would you prefer to receive your records request?
How would you prefer to receive your records request?