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911 Audio & Data Request

  1. Nature of Request*

  2. Time Stamps on Recording?*

  3. Date of Court/Hearing, Review, etc.

  4. I certify that the information from this tape will be utilized in conducting Official Business of my Agency, and for the sole and express purpose(s) outlined above. I fully understand that any other use or disclosure may expose my agency and me to legal and criminal liability.

  5. Leave This Blank:

  6. This field is not part of the form submission.