OPEN RECORDS REQUEST FORM

TODAYS DATE_______________________________________________
MR. /MS./MRS:________________________________________________
BUS. OR AGENCY_____________________________________________
ADDRESS:____________________________________________________
CITY, STATE:_________________________________________________
ZIP CODE:____________________________________________________
PHONE NUMBER:_____________________________________________
TO:

CHIEF DAVID M. KUNKLE

DALLAS POLICE DEPARTMENT

SIR:

Under the Public Information Act, I request a copy of the following:

_____Offense Report

_____Accident Report

_____911 Call Sheet

_____Arrest Report

(with photo request only)

(PLEASE PRINT)
SERVICE (REPORT) NUMBER (IF KNOWN)__________________________________
DATE OF OCCURRENCE (IF KNOWN)____________________________________

IF REQUESTING AN OFFENSE REPORT, EXPLAIN WHAT TYPE:

_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
____________________
Sincerely,
REQUEST RECEIVED BY:_____________________________________

(DPD Personnel only)

_____________________________________
(Signature)