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2. 

4. This form is to be utilized to request the release of property currently in the possession of the Cañon City Police Department. Please provide as much information as possible. An Evidence Technician will contact you with further information. If the property is available for release, an Evidence Technician will make an appointment for release.

   *PROPERTY IS RELEASED BY APPOINTMENT ONLY

6. CCPD Case #
7. Court Case #
9. Type of Incident
10. Date of Incident
    Date of Incident
12. Location of Incident
14. Property Requested
16. Owner Information
18. Owner of Property
19. Date of Birth
21. Address of Owner
23. Phone Number of Owner
24. Email of Owner
28. If this form is being completed by someone other than the owner of the property, please complete the following:
30. Requester Information
32. Requestor's Name
33. Relationship to Owner
35. Phone Number of Requestor
36. Email of Requestor
40. 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.

42. I hereby swear by penalty or affirm under penalty of perjury that I am the lawful owner of the property described above, and that the information given herein is true and correct to the best of my knowledge.

44. Electronic Signature
45. Date
    Date
49. For Office Use Only

    To be filled out by the Police Department after submission by the requestor.

51. Received by Evidence
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

* indicates a required field