Form Center

2. Eagle, Colorado

   200 Broadway | PO Box 609

4. Fee for Records
   Reports: $.25 per page CD or DVD: $5.00 each
6. First Name*
7. Last Name*
9. Address 1*
11. Address 2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Records*

    Please describe the record you wish to receive. Must include one or more of the following in order to process your request: name(s) of persons involved, approximate location of incident, and/or date of incident. 

22. Case Report Number
24. Type of Report or Record*

    1. Traffic Accident
    2. Offense/Case Report

    1. Administrative
    2. Other
26. Signature of person making the request
    The Police Department Records Section will respond within (3) three business days.
28. Do you agree?*

    Release CRS 24-74-305.5 Access to Records – Denial by Custodian – Use of Records to Obtain Information for Solicitation. Records of official actions and criminal justice records and the names, address, telephone numbers and other information in such records shall not be used by any person for the purpose of soliciting business for “Pecuniary Gain”. The official custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for Pecuniary Gain. CRS 27-72-309 Violation – Penalty. Any person who willfully and knowingly violates the provisions of this part 3 is guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine of not more than one hundred dollars, or by imprisonment in the county jail for not more than ninety days or both fine and imprisonment. By clicking "agree" , I acknowledge that I have read and understand the above Colorado Revised Statute (CRS). FBI and CBI policy on criminal history secondary dissemination: The discovery you receive may contain criminal history information obtained through the Colorado Bureau of Investigation. State and Federal laws govern the use of criminal history information. Pursuant to FBI and CBI policies, a signature is required from anyone legally entitled to receive such information. Additionally, FBI and CBI policies state that criminal history information shall not be disseminated to any other party, and is to be used for the purposes of this case only. The document (or CD that contains a criminal history) should be destroyed prior to disposal.

    1. I Agree
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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