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2. 
3. Castle Rock Police Department
5. REQUEST FOR CRIMINAL JUSTICE RECORDS SEARCH
7. The Castle Rock Police Department will provide, for the public, records which are legally allowed in accordance with Colorado Revised Statutes, 24-72-201 through 206, concerning Inspection, Copying, Photographing Public Records, and 24-72-301 through 309 concerning Criminal Justice Records. To request a copy of a record you MUST complete this form, which will be retained in the file of the requested record. Processing may take up to three (3) working days if the record requested is inactive, unusually extensive, or needs to be reviewed by the CRPD Administration. Should your request be denied, you may request a written explanation.
11. ______________________________________________________________________________________________________________________
13. INCIDENT INFORMATION
15. Case Number: (if known)
16. Date/Time of Incident:
    Date/Time of Incident:

    Date/Time of Incident:
18. Location of Incident:
20. Person(s) Involved:
22. 1. First Name:
23. 1. Last Name:
24. 1. Date of Birth:
    1. Date of Birth:
26. 2. First Name:
27. 2. Last Name:
28. 2. Date of Birth:
    2. Date of Birth:
30. Incident Type:

    1. Accident
    2. Arrest
    3. Crime
    4. Summons
    5. Other
31. Incident type if other (please explain):
33. Media Request (fees apply):

    1. Body Camera
    2. Photos
    3. Traffic Camera
    4. Vehicle Camera
    5. Other
34. Media Request explanation (if other):
36. ______________________________________________________________________________________________________________________
38. REQUESTOR INFORMATION
40. First Name:*
41. Middle Initial:
42. Last Name:*
44. Street Address:
45. Phone:
47. City:
48. State:
49. Zip Code:
51. Email Address:*
53. Check the box if applicable:

    1. Check this box if you are a victim to the incident or a Parent/Legal Guardian of a victim to the incident
55. ______________________________________________________________________________________________________________________
57. DELIVERY

    1. Requestor will Pick Up
    2. Mail to Requestor Address
    3. Email to Requestor
58. PAYMENT

    1. Cash
    2. Check
    3. Credit Card

    We will contact you at time of completion to collect applicable fees.

60. I HEREBY AFFIRM THAT I SHALL NOT USE THE REQUESTED INFORMATION FOR SOLICITATION OF BUSINESS FOR MONETARY / PECUNIARY GAIN, AND ACKNOWLEDGE THAT SUCH VIOLATION IS A CLASS 3 MISDEMEANOR OFFENSE UNDER C.R.S. 24-72-309.

    By typing your name below, you are agreeing to the above statement.

62. Signature of Requestor (REQUIRED)
64. State or government issued ID (mandatory)*
66. ______________________________________________________________________________________________________________________
68. OFFICE USE ONLY
70. Date Received:
72. Records Specialist:
74. Disposition (Approved or Denied):
76. If Denied, reason:
78. Referred to:
80. Date Completed:
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit Submit and Print

* indicates a required field