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

   1. Police
   2. Sheriff
   3. Fire
5. Date of Request
   Date of Request
9. Name of Person Involved:*
10. Type of Incident:*
12. Incident Location:*
14. Your Involvement in the Incident:*
16. Your Reason for Wanting the Information:*
18. ****************************************************************************************************************************
20. Information of Person Making Request
22. Name:*
24. Address1*
26. Address2:
28. Phone:*
29. E-Mail Address*
    For faster service, please provide your e-mail
31. **************************************************For Office Use Only*************************************************
33. 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 provide proper identification as well as submit payment of $5.25 by cash or charge.

    REQUESTS WILL ONLY BE HELD FOR 90 DAYS

35. _____ ID Checked
38. Comments: ______________________________________________________________________________________________
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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