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2. RECORDING REQUEST FORM
4. I hereby request a recorded copy of the below listed incident for law enforcement purposes.
6. Your Name & Title:*
7. Your Agency:*
9. Your e-mail Address:*
10. Your Phone Number:*
12. Date & Time of Incident: (+/- 15 minutes)*
    Date & Time of Incident: (+/- 15 minutes)

    Date & Time of Incident: (+/- 15 minutes)
13. Case #:
15. Location & Description of Incident:*
17. Channel(s) to be Recorded:*

    1. Radio
    2. Telephone
    3. Radio & Telephone
    4. Text-2-911 Transcript
    5. All Available
18. Method of delivery:*

    1. CD (Pick-up)
    2. Upload to Evidence.com (LPD Requestors Only)
    3. Via e-mail (LPD Command Requestors Only)
20. Special Instructions:
22. ==============================================================================================
24. Requestor's Signature Upon Receipt & Date:
26. Recorded by & Date:
Leave This Blank:


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

    This field is not part of the form submission.

30. Submit

* indicates a required field