Police Public Record Request

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Date: * +

Case # (If Applicable):

Please upload a photo or scan of your Photo ID: *

Please describe the records you are requesting, being as specific as possible: *

Please select if you would like to receive or view the records. *

I would like to receive a digital copy of the records.

I would like to view the records at Riverton City Hall.

Items of Understanding *

I understand that I will be responsible for fees associated with research charges and/or copying charges as permitted by UCA 63G-2-203.

I understand Riverton City has ten (10) business days to respond to this request. I understand Riverton City has ten (10) business days to respond to this request.

I authorize costs of up to: (Enter dollar amount here.) *

If the requested records are not public, please explain why you believe you are entitled to access:

I am the subject of the record.

I am the person who provided the information.

I am requesting expedited response as permitted by UCA 63G-2-204(3)(b). (Please attach information in the "Supplemental Information Upload" link attachment feature below that shows your status as a member of the media and a statement that the records are required for a story for broadcast or publication or other information that demonstrates that you are entitled to an expedited response.)

I am authorized to have access by the subject of the record or by the person who submitted the information; documentation required by UCA 63G-2-202 is attached. Please explain: I am authorized to have access by the subject of the record or by the person who submitted the information; documentation required by UCA 63G-2-202 is attached. Please explain:

Supplemental Information Upload (not required)