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Victim Report Copies Form

Victim Report Copies Form

Name / Nombre
Address / Dirección
Police video?
Note: Free police reports and Body Worn Camera (BWC) video are provided to victims as determined by the police report and who meet ARS 39-127 criteria. / Se puede obtener un reporte y un video gratis si usted es una victima determinado por el reporte policial y comple con los criterios de ARS 39-127.
MM slash DD slash YYYY
Under the provisions of ARS 39-121, the Public Records Law, I request the Chandler Police Department provide a copy of the listed report/record to me. This report/record copy will be used solely for non-commercial purposes. / Bajo las disposiciones del estatuto ARS 39-121, la Ley de Registros Públicos, Yo solicito al Departamento de Policía de Chandler que me provea una copia del reporte/registro listado. Dicho reporte/registro será usado únicamente con propósitos que no son comerciales.(Required)