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2. Police Records Request Form

4. Requestor Name
6. Phone Number
8. Email Address
10. Is the requestor a named party involved in the incident or accident report?

    1. Yes
    2. No
12. Date of Incident
    Date of Incident

    Date of Incident
13. Incident Number
15. Please Select which type of record is being requested

    1. Accident Report
    2. Incident Report
    3. Body Camera Video
    4. Dash Camera Video
    5. Dispatch Audio Recording
17. Additional Information

19. The Lebanon Police Department is restricted in dissemination of Arrest Reports as well as Incident Reports that are currently under active investigation. Dissemination of Arrest Reports will require the date and court in which the case was adjudicated. 
    
    

21. Does your incident include an arrest?*

    1. Yes
    2. No
23. Has your case been adjudicated*

    1. Yes
    2. No
25. Date of adjudication*
    Date of adjudication
27. Which court was case adjudicated in?*

29. By submitting this request, you attest that all information provided is accurate.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field