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2. 
4. Request for Records

   This form is to be utilized to request copies or review documents relating to the Police Department and the Colorado Criminal Justice Records Act. For records relating to the Municipal Court, please contact the Municipal Court. For records relating to the City of Cañon City, subject to the provisions and restrictions of the Open Record Act (C.R.S. Article 72), please contact the City Clerk.

   Copies are subject to applicable charges. Copy charges may vary for records that require extensive preparation, retrieval, or research efforts involving staff time following the first hour. Where total charges are in excess of $10, prepayment is required. Cost estimates shall be provided to the customer prior to providing the services requested and payment shall be rendered prior to the commencement of work.

6. Basic Fee Schedule
   • Incident Reports: .25 Cents per page BW/$1.00 per page color 
   • Record Copy: .25 Cents per page
   • CD/DVD: $5.00 plus postage
   • Research/Redaction: No fee first hour/$33 an hour thereafter
   • BWC Footage: Research and Redaction fees apply  
   • Color Photos: $1.00/page (4 photos on a page) 
   • Thumb Drive: $10

   If any request takes longer than 1 hour the time is charged at a rate of up to $33 per hour.
   
   Process time includes the search, retrieval, redaction, and copying of the requested record. Reports and digital records can be emailed through a secure portal upon request.

8. Requestor Information
10. Name
11. Date
    Date
13. Representing (Name of Company)
15. Address
16. City, State
17. Zip Code
19. Email
20. Telephone #
21. Fax #
23. Case Report

    $.25 per BW page (lengthy requests will be charged for the time spent processing the requests, at a rate of $33/hour billed in 15-minute increments after the first hour)

    1. Traffic Accident Report
    2. Police Report
25. Case # (if known) or
26. Type of Incident (i.e. domestic, theft)
28. Date of Incident
29. Time of Incident
31. Location / Address of Incident
33. Person(s) Involved
35. Digital Media

    Printed (4 Photos per page) $1.00 per page; CD/DVD $5.00 per disc; Flash Drive $10.00 per drive

    1. Photographs (if applicable)
    2. Bodycam/Video/Audio Recordings (if applicable)
37. Background Check

    $10.00; additional fees apply for any reports requested

39. Last Name
40. First Name
41. Middle Name
43. Date of Birth
44. Other Names (AKA/Maiden)
46. Other / Miscellaneous (fees may apply)

    Please specify: date/time/involved parties/details

48. Pecuniary Gain Affirmation

    Pursuant to C.R.S. 24-72-305.5: Records of official actions and criminal justice records and the names, addresses, telephone numbers, and other information in such records shall not be used by any person for the purpose of soliciting business for pecuniary gain. By signing this form, I acknowledge and affirm that the records I obtain from the Canon City Police Department as a result of this request shall not be used for the direct solicitation of business for pecuniary gain.

50. Notice: Records not picked up after 30 days from notification will need to be reordered. No refunds will be given/new fees will apply.
52. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
54. Electronic Signature
55. Date
    Date
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field