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2. Price County Sheriff's Office
   Open Records Request
4. First Name
5. Last Name
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Telephone Number*
17. Mark which of the following you are requesting*

    1. Accident
    2. Incident
    3. Photographs (Subject to Charge)
    4. Audio Recording (Subject to Charge)
    5. Video Recording (Subject to Charge)
18. Other (Please Describe)
    Please indicate the type of record you are looking for.
20. Information About Accident Report Requests:
    If you are an involved party in an accident and are requesting an accident report, you will only be provided with your information. Per the Driver's Privacy Protection Act of 1994, information on the other driver must be redacted. If you require an unredacted copy, you may purchase one through the Wisconsin Department of Transportation. If you are a representative from an insurance company or an attorney representing one of the parties involved in the accident, you will be provided with an unredacted copy of the accident report.
22. Date Occurred On*
    Date Occurred On
23. Or Between
    Or Between
25. Individuals Involved
    List any individuals involved in the incident that will help us to locate it.
27. First Name
28. Last Name
30. First Name
31. Last Name
33. How would you like to receive your report?*

    1. Mail to Address Listed (Subject to Charge)
    2. Mail to Different Address (Subject to Charge)
    3. Email
35. Email Address
    Enter the e-mail address at which you would like to receive your request.
36. Mailing address if different from above
    Enter the address at which you would like to receive your request if different from above.
38. Note:
    Your request may be subject to redaction or may not be available for release at this time.
39. We cannot email Photographs, Audio Recordings or Video Recordings. Should you choose to receive those types of records, charges may apply. Also, should you choose to have your request sent to you via US mail, charges may apply.
40. Should we be unable to fulfill your request, an explanation will be sent to you.
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field