CITY OF
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REQUEST FOR ACCESS TO
POLICE DEPARTMENT RECORDS
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FOR MUNICIPAL USE ONLY |
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SEE INSTRUCTIONS ON NEXT PAGE |
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Address: |
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Information Requested: |
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[_____] Police Accident Report |
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Identify/Accident |
___________________________ |
___________________________ |
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[ ] Other [specify] _____________________________________________________________ |
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A
request for a copy of Public Records should be submitted on this form which has
been adopted by the Custodian of Records for requests related to Police
Department Records. Some records will be
immediately available during normal business hours. Some records will require time to locate and
to make the copies requested, but will normally be available during normal
business hours and within seven (7) business days. If any document or copy which has been
requested is not a public record or cannot be provided within the seven (7)
business days, you will be provided with a response with that information
within the seven (7) business days. Some
records requested have specific fees or other response times established by
statute. There is no fee involved in
simply inspecting a document during normal business hours. In general:
·
Except as otherwise provided by law or regulation, the fee assessed for
the duplication of a printed record shall be: first page to tenth page, $0.75
per page; eleventh page to twentieth page, $0.50 per page; all pages over
twenty, $0.25 prepare; for a police accident report there is an additional fee
when the request is not made in person of $5.00 for the first 3 pages and $1.00
for each additional page, as provided by N.J.S.A.
39:4-131.
·
Where a request is for a copy in a format other than a photocopy,
reasonable efforts will be made to provide the information in the format
requested. The cost will be based on the
costs of producing the format requested.
·
Where a legal determination must be made as to whether records are
“public records” as provided by law, the request will be reviewed by the
Municipal Attorney.
The term “public records” generally includes those
records determined to be public in accordance with N.J.S.A. 47:1A-1. The term
does not include employee personnel files, police investigation records, or other
matters in which there is a right of privacy or confidentiality or which is
specifically exempted by law.
The Applicant hereby acknowledges receipt of a copy
of this form with the date on which the information is expected to be available
and the estimated cost. The applicant
hereby certifies that he or she has not been convicted of any indictable
offense under the laws of this State, any other state or the United States and
is not seeking government records containing personal information pertaining to
the victim or the victim’s family as provided by N.J.S.A. 47:1A-1 et seq.
This
form when signed by the municipal official shall constitute a receipt for any
deposit received.
The information
requested will be ready on
Estimated
Number of Pages
Estimated Cost
Deposit
[required
when the anticipated cost of reproduction exceeds $5.00]
Applicant Municipal
Official
Date: Date: