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2. Incident Date:*
   Incident Date:
3. Case Number:
5. Type of Report:*

   1. Police
   2. Sheriff
   3. Fire/EMS
7. Name of Person Involved:*
8. Type of Incident:*
10. Incident Location:*
12. Your Involvement in the Incident:*
14. Your Reason for Wanting the Information:*
16. ****************************************************************************************************************************
18. Information of Person Making Request
20. Name:*
22. Address1*
24. Address2:
26. Phone:*
27. E-Mail Address*
    For faster service, please provide your e-mail
29. **************************************************For Office Use Only*************************************************
31. For fastest service, be sure to e-mail a copy of your driver's license or government issued photo ID to: Records@CityofLaramie.org

    By clicking the "submit" button, I acknowledge I must be prepared to show proper identification as well as submit payment of $5.25 by cash or charge.

    REQUESTS WILL ONLY BE HELD FOR 90 DAYS

33. _____ ID Checked
36. Comments: ______________________________________________________________________________________________
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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