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2. First Name*
3. Middle Name
4. Last Name*
6. Organization Represented (if any)
8. Mail and Delivery Address*
10. Phone Number*
11. E-mail*
13. Is this a records request for the Sheriff's Office or another Clear Creek County Department?*
    -- Select One --Sheriff's OfficeOther Clear Creek County Division
15. Type of Report Requested
    -- Select One --Offense ReportPhotosVideo Recordings911 RecordingsAddress/Name SearchBody-Worn Camera Request
17. Requestor's Involvement in Case
    -- Select One --VictimWitnessComplaintantArresteeSuspectOther (please explain)
19. Explain here.
21. Records or information requested – Please be as specific as possible (attach separate sheet if necessary)*
23. Attach file here if needed

25. By typing your full, legal name in the field below, you acknowledge that you have honestly and accurately completed this form to the best of your ability. DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

    PER COLORADO REVISED STATUTE 24-72-305.5 ACCESS TO RECORDS/DENIAL BY CUSTODIAN USE OF RECORDS TO OBTAIN INFORMATION FOR SOLICITATION THE OFFICIAL CUSTODIAN SHALL DENY ANY PERSON ACCESS TO RECORDS OF OFFICIAL ACTIONS AND CRIMINAL JUSTICE RECORDS UNLESS SUCH PERSON SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH RECORDS SHALL NOT BE USED FOR THE DIRECT SOLICITATION OF BUSINESS FOR PECUNIARY GAIN (MONETARY GAIN).

27. Please type you name below.*
29. Today's Date
    Today's Date
31. The following information is necessary to process your request.

    Please provide as much information as possible. Colorado Law and Department Procedures require you identify the information request with information specific enough to identify the exact record/person/report sought.

33. Case Report Number
34. Date of Incident
35. Location of Incident
37. Arrest ID Number
39. Subject Involved

    (Last Name, First Name, Middle Initial)

40. Date of Birth
42. I request (choose one)*

    1. To inspect before requesting copies
    2. Copies in lieu of inspection
44. INSTRUCTIONS & INFORMATION FOR A PUBLIC RECORDS INSPECTION REQUEST

    Description of Records: If the record name is unknown, provide a brief, but specific, description of the document or information you are requesting (including the date of issuance and location of document or information, if known). A request which is vague, broad or which seeks voluminous records, may cause a delay in the time in which the County can produce the records or prevent it from producing anything.

    Submitting a Request: Public Records Inspection Requests may be submitted in person, or via mail, e-mail or facsimile. A request is deemed received only when the custodian of the records requested views the request.

    Time for County’s Response to Your Request: The custodian of records has a reasonable period of time, not to exceed three working days, to make the records available for inspection. The custodian will notify the applicant when additional time is required to make the records available for inspection.

    Inspection: Normally original records will not be provided. If original records are provided, a requester shall not remove or add anything to the records provided for inspection, and shall not write on or otherwise deface the records. A requester shall not bring and shall not use any copy, scanning or reproduction device to copy records.

    Request for Copies: You may request copies of some or all of the records you inspect. You may ask to have copies sent to you after or instead of inspecting the records; there will be a minimum fee of ¼ hour time and the delivery cost.

    Fees: See the current Fee Schedule available in most County offices and at https://www.clearcreekcounty.us/868/Fee-Schedule. The fee for Research (determining what records might be responsive, locating them, reviewing them to determine whether they are subject to the Open Records Act, preparing them for your inspection) is $27.50 per hour. The first hour is free. You will be given an estimate of research charges and the research will be done only when the research fee is paid. The fee for copies varies. For 8-1/2 x 11 inch black and white paper copies, the charge usually is $0.25 per page. Time charges for copying are included in paper copy fees. The fee for digital copies is the costs of staff time preparing them and digital media. You will be given an estimate of the copy fees and the copies will be prepared only when the copy fees are paid.

    County Public Records Act Policy: This policy (including all fees) may be found on the County’s website here:  https://www.clearcreekcounty.us/DocumentCenter/View/9301/CCC-Public-Records-Policy.

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46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field