Fire Department Records Request

This is a request for records under the Missouri Sunshine Law, Chapter 610, Revised Statutes of Missouri. The Missouri Sunshine Law requires that each request for access to a public record be acted on no later than the end of the third business day following the date the request is received.

Fire Department Records Request Form

Requestor Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Party to Release Records to Information

Name

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Incident Information

Type of Incident(Required)

Incident Number (if known)

Date of Service(Required)

Location/Address(Required)

Title or Description of Reocrd(s)(Required)

Acknowledgment, Authorization and Signature

Signature of Requestor(Required)

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Name

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