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2. First Name
3. Last Name
5. Email Address
6. Phone Number
8. Address
10. City
11. State
12. Zip Code
14. MAILING ADDRESS

    IF DIFFERENT

15. Address
17. City
18. State
19. Zip Code
21. When the report is ready:*

    (check one)

    1. Pick up at LCSO Main Office (fee must be paid before release)
    2. Email (no cost)
    3. Mail (fee must be paid before mailing)
25. WHAT ARE YOU REQUESTING?
27. Case #
28. INCIDENT #
29. Date of Report
    Date of Report
31. Location of incident
32. Name of person involved (if different than above)
34. Additional information

    Note: If you do not have a Case or Incident number, please provide as much information as you can so we may identify the correct record/s (i.e., date, time, location, reporting party, etc.).

36. Type of record requested:

    1. Arrest
    2. Coroner
    3. Vandalism
    4. Burglary/Theft
    5. Domestic Violence
    6. Other
38. Requests will be reviewed and you will be contacted (by e-mail or phone) regarding release of any records within ten (10) days of the receipt of request, unless unusual circumstances exist as identified within California Government Code section 6250 et seq.
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field