Date: [Date]
Sent Via: ☐ Email ☐ Online portal ☐ Certified mail ☐ Hand delivery ☐ Other: [Method]
To (Agency / Public Records Officer):
[Agency Name]
Attn: Public Records / FOIA Officer
[Agency Address]
[Email] | [Phone] (if known)
From (Requestor): [Your Full Name]
[Your Address]
[City, State, ZIP]
[Phone] | [Email]
Re: Public Records Request — Traffic Crash on [Crash Date] at [Location]
1. Request Under Public Records Law
1.1 I am requesting access to and copies of public records related to a traffic crash that occurred on [Crash Date] at approximately [Time] at/near [Exact Location / Intersection / Mile Marker].
1.2 If your office is not the custodian of these records, please forward this request to the appropriate custodian or advise me where to direct it.
2.1 Crash Date/Time: [Date] at [Time] (approx.).
2.2 Location: [Street/Intersection/Highway + direction + mile marker].
2.3 Case / Incident / Report No. (If Known): [Number].
2.4 Officer Name/Badge (If Known): [Name/Badge].
2.5 Vehicles/Parties (If Known): [Names and/or vehicle descriptions].
2.6 EMS/Fire Response (If Known): [Agency names].
2.7 Citation No. (If Known): [Number].
3. Records Requested (Non-Exhaustive)
3.1 Please provide copies of the following records, to the extent they exist and are maintained by your agency:
A. Reports and Narratives
-
Traffic crash report and any supplements/amendments
-
Officer narratives, notes, and witness statements collected by the agency
-
Citations issued and any related citation notes
Traffic crash report and any supplements/amendments
Officer narratives, notes, and witness statements collected by the agency
Citations issued and any related citation notes
B. Audio/Video
-
Body-worn camera (BWC) video for responding officers
-
Dashcam/in-car video (including audio)
-
911 call audio and recordings related to the incident
-
Dispatch audio/radio traffic related to the incident
Body-worn camera (BWC) video for responding officers
Dashcam/in-car video (including audio)
911 call audio and recordings related to the incident
Dispatch audio/radio traffic related to the incident
C. Scene Documentation
-
Photographs taken by officers or agency personnel
-
Diagrams, measurements, field sketches, and reconstruction materials (if any)
-
Property/evidence inventory logs (if any)
Photographs taken by officers or agency personnel
Diagrams, measurements, field sketches, and reconstruction materials (if any)
Property/evidence inventory logs (if any)
D. Dispatch and Administrative Records
-
CAD logs, dispatch logs, and incident history
-
Call sheets, unit response logs, and time stamps for responding units
-
Tow/impound records generated by the agency (if any)
CAD logs, dispatch logs, and incident history
Call sheets, unit response logs, and time stamps for responding units
Tow/impound records generated by the agency (if any)
E. Other Related Materials (If Applicable)
-
DUI/impairment testing documents (if any), in redacted form if required
-
Any internal crash review documentation, if releasable
DUI/impairment testing documents (if any), in redacted form if required
Any internal crash review documentation, if releasable
4.1 Please provide records in electronic format where available: ☐ PDF ☐ MP4 ☐ WAV ☐ other: [Format].
4.2 Delivery method: ☐ email ☐ secure download link ☐ CD/USB ☐ portal pickup ☐ other: [Method].
4.3 If any record must be redacted, please provide the redacted version and identify the legal basis for each withholding/redaction.
5. Date Range (If Needed)
5.1 If your system requires a date range, please search from [Start Date/Time] to [End Date/Time] (recommended: at least 2 hours before through 2 hours after the crash).
6. Fees and Cost Limit
6.1 If fees apply, please provide a written fee estimate before processing if the total cost will exceed $[Amount].
6.2 If costs are high, please contact me so I can narrow or prioritize the request.
7. Clarifications and Partial Production
7.1 If some records are available sooner than others, please provide them on a rolling basis.
7.2 If any portion of this request is unclear, please contact me at [Phone/Email] and I will clarify promptly.
8. Requestor Statement (Optional)
8.1 This request is made for lawful purposes, including evaluating the facts and circumstances of the crash and obtaining accurate public records.
Sincerely,
[Your Full Name]
Signatures
Signature: ___________________________
Printed Name: [Your Full Name]
Date: [Date]