Bandon Police Department Public Records Request Form

All records requests must be submitted by mail, fax, in person, or by email to police@cityofbandon.org.

The Bandon Police Department will only release records in the possession, custody and control of the Bandon Police Department. A shared records management system may allow staff to see another agency’s records, however, you will be referred to the appropriate agency for their records.

Please complete the form with as much information as you can, writing clearly and legibly.

Although not required, providing the reason you need the information will also help us narrow down the search to provide you information that is pertinent to your request. (For example, are you looking for incidents involving domestic abuse and violent behavior for a divorce or child custody issue?)

Under Oregon Public Records law, CASES STILL UNDER INVESTIGATION OR CRIMINAL ARRESTS PENDING COURT HEARINGS ARE NOT RELEASABLE. 192.345(3)

Requests for cases involving child abuse as defined in ORS 419B.005, requires authorization from the Department of Human Services (CPS) and will have to be obtained prior to any release. Please be advised that obtaining authorization/denial of a request to release may extend beyond the 15 business days set forth in the statute.

Records requests will be processed per ORS 192.324(2) and 192.329. As soon as reasonably possible but not later than 10 business days after the date by which a public body is required to acknowledge receipt of the request (5 days), a public body shall:

A) Complete its response to the public records request; or

B) Provide a written statement that the public body is still processing the request and a reasonable estimated date by which the public body expects to complete its response based on the information currently available.

Section A - Requester Information:

Name of Requesting Individual and/or Firm *

Phone:

Cell Phone:

Fax:

Mailing Address: *

City, State, Zip Code: *

Email: *

Section B - Record Requested:

Type of Report: *

Case Number (if known):

Victim(s) Name: *

Phone:

Date of Birth

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Suspect(s) Name:

Phone:

Date of Birth

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Date/Time of Incident(s):

Location(s) of Incident:

If you are an attorney/private investigator, name of client you are representing: *

Reason for request (divorce, civil litigation, restraining order hearing, etc.): *

Section D - Disclaimer Indemnification:

Requester understands and agrees that the Bandon Police Department does not guarantee the accuracy of the data and information requested and hereby expressly disclaims any responsibility for the truth, lack of truth, validity, invalidity, accuracy and inaccuracy of any said data and information. Requester/Purchaser accepts responsibility for Requester/Purchaser’s unauthorized use of transmission of any such data or information in its actual or altered form.

PLEASE ACKNOWLEDGE THE FOLLOWING STATEMENTS: *

	Yes	No
I certify that information obtained through this request will not be used for the purposes of enforcement of federal immigration laws (HB3464.) *	I certify that information obtained through this request will not be used for the purposes of enforcement of federal immigration laws (HB3464.) - Yes	I certify that information obtained through this request will not be used for the purposes of enforcement of federal immigration laws (HB3464.) - No
I understand that I may be asked for clarification of my request prior to it being completed. *	I understand that I may be asked for clarification of my request prior to it being completed. - Yes	I understand that I may be asked for clarification of my request prior to it being completed. - No
I understand that I may be required to pay an initial research and retrieval fee, dependent on the scope of the request and that if I do not pay the fee my request will not be completed. *	I understand that I may be required to pay an initial research and retrieval fee, dependent on the scope of the request and that if I do not pay the fee my request will not be completed. - Yes	I understand that I may be required to pay an initial research and retrieval fee, dependent on the scope of the request and that if I do not pay the fee my request will not be completed. - No
I understand I will be required to pay the complete records request final fee prior to the processing of the request. *	I understand I will be required to pay the complete records request final fee prior to the processing of the request. - Yes	I understand I will be required to pay the complete records request final fee prior to the processing of the request. - No
If no response is received within 60 days after the initial and or final records bill for payment is sent, the Public Records Request is closed. (Clarification of request, payment of fees, etc.) *	If no response is received within 60 days after the initial and or final records bill for payment is sent, the Public Records Request is closed. (Clarification of request, payment of fees, etc.) - Yes	If no response is received within 60 days after the initial and or final records bill for payment is sent, the Public Records Request is closed. (Clarification of request, payment of fees, etc.) - No
All records not picked up within 30 days will be destroyed. Another records request will need to be submitted if you still need them. *	All records not picked up within 30 days will be destroyed. Another records request will need to be submitted if you still need them. - Yes	All records not picked up within 30 days will be destroyed. Another records request will need to be submitted if you still need them. - No
Are the records you are requesting going to be used in litigation against Bandon Police Department or where Bandon Police will be named as a witness or party in the litigation? *	Are the records you are requesting going to be used in litigation against Bandon Police Department or where Bandon Police will be named as a witness or party in the litigation? - Yes	Are the records you are requesting going to be used in litigation against Bandon Police Department or where Bandon Police will be named as a witness or party in the litigation? - No

I hereby certify that I understand the above statements and agree to the conditions set forth in order for my Public Records Request be processed by the Bandon Police Department.

Type Name *

Bandon Police Department Public Records Request Form

Supporting Documents

Upcoming Events

Contact Information

City Recorder: June Hinojosa

Phone: 541-347-2437

Email: june@cityofbandon.org