City of Batavia Form Center

Police Department Freedom of Information Request

2. Requestor's Information: Last Name,

3. First Name

5. Address

   Street Address

7. City

8. State

9. Zip

11. Email Address

12. Phone

13. Fax Number

17. Information Request
    *** Please describe in detail the information being requested ***

    *** Please describe in detail the information being requested ***

19. Incident Number

20. Date(s) of Incident(s)
    Date(s) of Incident(s)

21. Address or Location

23. Description of Incident or Request

27. Is this request being made for commercial purposes?
    IS THIS REQUEST BEING MADE FOR COMMERICAL PURPOSES (PLEASE CHECK: YES/NO). COMMERCIAL PURPOSE MEANS THE USE OF ANY PART OF A PUBLIC RECORD OR RECORDS OR INFORMATION DERIVED FROM PUBLIC RECORDS, IN ANY FORM FOR SALE, RESALE OR SOLICIATION OR ADVERTISEMENT FOR SALES OR SERVICES. REQUESTS MADE FOR COMMERCIAL USE ALLOW TWENTY-ONE (21) BUSINESS DAYS FOR A RESPONSE.

    IS THIS REQUEST BEING MADE FOR COMMERICAL PURPOSES (PLEASE CHECK: YES/NO). COMMERCIAL PURPOSE MEANS THE USE OF ANY PART OF A PUBLIC RECORD OR RECORDS OR INFORMATION DERIVED FROM PUBLIC RECORDS, IN ANY FORM FOR SALE, RESALE OR SOLICIATION OR ADVERTISEMENT FOR SALES OR SERVICES. REQUESTS MADE FOR COMMERCIAL USE ALLOW TWENTY-ONE (21) BUSINESS DAYS FOR A RESPONSE.

29. Yes/No*

    1. Yes
    2. No

    Select Yes or No

33. Response Timeline and Fees
    ALL NON-COMMERCIAL REQUEST FOR PUBLIC RECORDS WILL BE RESPONDED TO WITHIN FIVE (5) BUSINESS DAYS FROM THE RECEIPT OF THE REQUEST. IF THE INFORMATION YOU SEEK CANNOT BE MADE AVAILABLE WITHIN FIVE (5) BUSINESS DAYS, YOU WILL BE NOTIFIED WITHIN THIS TIMEFRAME WITH REASON(S) FOR THE NECESSARY EXTENSION. LASTLY, THERE IS A $5.00 FEE FOR ACCIDEENT REPORTS. FOR ALL OTHER REPORTS, THE FIRST FIFTY (50) PAGES ARE FREE OF CHARGE, WHILE ANY ADDITIONAL PAGES THEREAFTER ARE .15 CENTS PER ADDITIONAL PAGE.

    ALL NON-COMMERCIAL REQUEST FOR PUBLIC RECORDS WILL BE RESPONDED TO WITHIN FIVE (5) BUSINESS DAYS FROM THE RECEIPT OF THE REQUEST. IF THE INFORMATION YOU SEEK CANNOT BE MADE AVAILABLE WITHIN FIVE (5) BUSINESS DAYS, YOU WILL BE NOTIFIED WITHIN THIS TIMEFRAME WITH REASON(S) FOR THE NECESSARY EXTENSION. LASTLY, THERE IS A $5.00 FEE FOR ACCIDEENT REPORTS. FOR ALL OTHER REPORTS, THE FIRST FIFTY (50) PAGES ARE FREE OF CHARGE, WHILE ANY ADDITIONAL PAGES THEREAFTER ARE .15 CENTS PER ADDITIONAL PAGE.

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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field