Public Records Request

Public Records Request – Law Enforcement Recordings

(Body-worn camera, dash camera, or other recorded law enforcement media)

Notice

A separate form must be completed for each requested recording.

Phone

This field is for validation purposes and should be left unchanged.

1. Requestor Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Organization (if applicable)

2. Type of Request

Select one.

Request Type(Required)

Enhanced Access Request (IC 5-14-3-5.1) – I am eligible to directly inspect the recording

Standard Public Records Request (IC 5-14-3-5.2) – I am requesting a copy or inspection under APRA

3. Eligibility

Only required for IC 5-14-3-5.1 Enhanced Access Requests. Check all that apply. If none apply, you must proceed under IC 5-14-3-5.2.

Eligibility – Check all that apply

I am an individual depicted in the recording

I am the immediate family member of a deceased individual depicted in the recording

I am the legal representative (attorney, guardian, or personal representative) of a person depicted in the recording

I am the victim of a crime depicted in or related to the recording

I am the owner/occupant of property depicted in the recording

4. Recording Identification

Required for all requests.

Date of Incident(Required)

Approximate Time of Incident

Name(s) of Involved Non-Law Enforcement Individuals (if known)

Location and/or Incident Description(Required)

Additional Identifying Information (case number, officer name, etc.)

5. Requested Method of Access

Method of Access(Required)

Inspect in person at Sheriff’s Office (no copy provided unless authorized)

Inspect with attorney present (IC 5-14-3-5.1 eligible requestors only)

Receive copy (IC 5-14-3-5.2 requests only)

Delivery Method (if requesting a copy)

Pick up in person

Mail to address above

Email (if permitted and file size allows)

Only required if “Receive copy” is selected above.

6. Fees and Costs

Fees may be charged consistent with APRA and limited to the direct cost of reproduction. Copying fees shall not exceed statutory limits, including any applicable caps. Additional charges may include media, certification, and postage if applicable. All fees must be paid prior to release of records.

7. Processing Notice

The Sheriff’s Office will acknowledge this request within the time required by Indiana Code 5-14-3-9. Records will be produced within a reasonable time as required by law, unless exempt or denied in writing. Any denial will include the statutory basis for withholding and identifying authority. Required redactions will be made pursuant to Indiana law.

8. Certification

By submitting this form I certify that the information provided is true and correct to the best of my knowledge and that I understand this request is subject to the provisions of the Indiana Access to Public Records Act.

Signature(Required)

Printed Name(Required)

Date(Required)

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