Application for Release/Inspection of
Criminal Justice Record

Name:
Address:
Phone:	(use 000.123.4567 format)
City:
State:
Zip-Code:

Request release of:	Records of Official Action (arrests and dispositions). Local check only
	Other Criminal Justice Records
	Crime/Incident report
	Traffic Accident report

FEES FOR COPIES:

Records checks - $10
Accident Reports, first page - $3 + .50 each additional page
Crime/Incident reports, first page - $1 + .50 each additional page
Microfilm reports prior to 1989, first page - $15 + $1 each additional page

THE FOLLOWING INFORMATION IS NEEDED IN ORDER TO IDENTIFY THE PROPER RECORD:

Case Number:
Incident Report Number:
Date of Incident:
Time of Incident:
Location of Incident:
Person the report involves:
Date of Birth:
Address:
City:
State:	Zip-Code:

NOTE: According to Colorado Revised Statute 24-72-305.5, records of official action, criminal justice records, or 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. The Official Records Custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for pecuniary gain.

I have read the above Colorado Statute and understand the conditions contained therein:

Durango Police Department Records Unit
990 East 2nd Avenue, Durango, CO 81301
Phone: (970) 375-4750
Fax: (970) 375-4718