Form Center

2. Fort Morgan Police Department
   901 East Beaver Avenue
   Fort Morgan Colorado 80701
   Request for Release/Inspection of Criminal Justice Records
   Phone: (970)542-3930 Fax:(970)542-3946
4. SECTION 1
6. 
   
8. Your Name:*
9. Daytime Phone#:*
11. Cell/Evening Phone#:*
12. E-Mail Address:*
14. Your address, City, State, and Zip*
16. Please provide the name and number of an English speaking contact if needed:
18. Please state your relationship to the subject of the report that you are requesting: (ie relative, attorney, business owner, etc.)*
20. ..................
    Records Request Fees
22. 
    
24. PLEASE COMPLETE THE REQUESTED INFORMATION BELOW. PROVIDE AS MUCH INFORMATION AS POSSIBLE TO ASSURE THAT THE APPROPRIATE REPORT IS RECEIVED.
26. 
    
28. SECTION 2
30. 
    
32. 
    
34. Select the Specific Police Reports and Records Requested*

    1. Police Report $1.00 (12 or less pgs.) (redaction fee may apply)
    2. Police Report $3.00 (13-25 pgs) additional pages .25 each (redaction fee may apply)
    3. Certified Copies $1.25 per report
    4. Audio/Video (to include Body Worn Camera) $10.00 per DVD/CD/Digital Media Device (redaction fee may apply)
    5. Photos $10.00 per cd or .25 per picture (redaction fee may apply)
36. Reasonable fees, not to exceed actual costs, for search, retrieval, and redaction of records may apply ($5.00 per 15 minutes). Payment must be received before records will be released.
38. 
    
40. Name of the person/persons involved:*
42. Date of birth or approximate age: *
44. Location of where the incident occured:*
45. Date/Time of incident:*
47. Call for service/case number
49. Name of Fort Morgan Police Officer(s) who took the report.
51. Type of incident:*
53. 
    
55. Reports will not be released until payment has been received.
57. Options for delivery of records requests:*

    1. Will pick up
    2. Please fax
    3. Please Email
    4. Please Mail
59. Email Address:
60. Fax Number:
62. 
    
64. By checking this box, I affirm that I will not use any information in the requested record(s) to harass, annoy, or intimidate, any person named in the record(s) or violate any court orders or laws regarding this or any related matter. I understand I can and will be subject to the appropriate legal action being taken against me if I use any information from the requested record(s) to violate any provisions of local, state, or federal law. Records of official actions and criminal justice records and the names, address, telephone numbers, and other information in such shall not be used by any person for the purpose of soliciting business for pecuniary gain.
66. 
    
68. I affirm that such records will not be used for the direct solicition of business for pecuniary gain.*
70. 
    
72. Official Use Only
74. Payment Received:

    1. Yes
    2. No
75. Amount:
77. Report Returned By and Date:
79. Report Approved for Release:

    1. Yes
    2. No
80. Signature of Reviewing Official:
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field