Request for Public Records

2. *Notice
   If you wish to obtain open records from the Police Department, please use the link available. The Police Department may require additional information.
3. City of Delafield Police Department Open Records Request
5. First Name*
6. Last Name*
8. Address 1*
10. Address 2
12. City*
13. State*
14. Zip*
16. Phone Number*
17. Email Address*
19. Is this a commercial request?*

    1. Yes

    1. No
21. Records*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible.
23. Department*

    1. Building
    2. Public Works
    3. Clerk
    4. Community Development

    1. Administration
    2. Finance
    3. Other
25. Signature of person making the request
    The City will respond to this request within 5 working days. Payment may be required prior to fulfilling the request.
27. Do you agree?*

    By clicking 'I agree' you agree and acknowledge that 1) your application will not be 'Signed' in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your ?electronic signature? is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field