PUBLIC RECORDS REQUEST (FOIA)
Use this form to request access to public records held by the San Andreas government. Please be specific. Vague requests may be delayed or denied if they cannot be reasonably located.
SECTION 1 — REQUESTOR INFORMATION
Legal Name:
Preferred Name (if different):
Phone Number:
Email Address:
Mailing Address (optional):
CAD / Citizen ID (if applicable):
Are you requesting records for yourself, or on behalf of someone else?
( ) Myself ( ) On behalf of another person/entity
If on behalf of someone else:
Name of person/entity:
Relationship / authority to request (attach proof if applicable):
SECTION 2 — RECORDS REQUESTED
Record Type (check all that apply):
( ) Arrest Report / Booking Record
( ) Incident / Call for Service Report
( ) Citation / Ticket Record
( ) Case File / Investigative File (may be restricted)
( ) Body-Worn Camera (BWC) / Dash Camera Footage (may be restricted)
( ) 911 / Dispatch Audio (may be restricted)
( ) Property / Evidence Record
( ) FOIA Logs / Administrative Records
( ) Other (describe):
Agency / Department believed to hold the record:
( ) DOJ / Records
( ) SASP
( ) LSPD
( ) BCSO
( ) SAFR / EMS
( ) Other:
Known Identifiers (fill in anything you have):
Case / Report #:
Citation #:
Arrest / Booking #:
Officer / Deputy Name(s):
Date(s) of Incident (or date range):
Location / Address:
Names of involved parties (if known):
Detailed Description of the Records Requested:
(Write exactly what you want. Example: “All reports, citations, and CAD notes related to incident #SA-12345 on 02/10/2026.”)
SECTION 3 — TIMEFRAME & FORMAT
Requested Date Range:
From: ___________ To: ___________
Preferred Delivery Format:
( ) Digital Copy (PDF / Images)
( ) Audio File (if applicable)
( ) Video File (if applicable)
( ) In-Person Review (if permitted)
Delivery Method:
( ) Forum DM
( ) Email
( ) Pick-up at Records Office (if applicable)
SECTION 4 — FEES / WAIVER
Some requests may involve administrative time, copying, redaction, or media export costs.
Do you agree to pay fees up to a cap?
( ) Yes — up to $________
( ) No — contact me with an estimate first
Fee Waiver Request (optional):
( ) I am requesting a fee waiver because:
SECTION 5 — ACKNOWLEDGEMENTS
Please initial each item:
_____ I understand some records may be withheld or redacted to protect privacy, ongoing investigations, officer safety, or other legal restrictions.
_____ I understand requests may be denied if overly broad, seeks restricted information, or cannot be reasonably located.
_____ I understand false statements or misuse of released records may result in penalties under applicable laws/policies.
SECTION 6 — SIGNATURE
Requestor Signature (type full name):
Date Submitted:
FOR OFFICIAL USE ONLY (DO NOT FILL OUT)
Request ID:
Date Received:
Receiving Staff:
Department Assigned:
Status:
( ) Received ( ) In Review ( ) Partially Granted ( ) Granted ( ) Denied ( ) Closed
Response Due By:
Fees Assessed:
Notes / Redactions:
Disposition / Response Summary:
Use this form to request access to public records held by the San Andreas government. Please be specific. Vague requests may be delayed or denied if they cannot be reasonably located.
SECTION 1 — REQUESTOR INFORMATION
Legal Name:
Preferred Name (if different):
Phone Number:
Email Address:
Mailing Address (optional):
CAD / Citizen ID (if applicable):
Are you requesting records for yourself, or on behalf of someone else?
( ) Myself ( ) On behalf of another person/entity
If on behalf of someone else:
Name of person/entity:
Relationship / authority to request (attach proof if applicable):
SECTION 2 — RECORDS REQUESTED
Record Type (check all that apply):
( ) Arrest Report / Booking Record
( ) Incident / Call for Service Report
( ) Citation / Ticket Record
( ) Case File / Investigative File (may be restricted)
( ) Body-Worn Camera (BWC) / Dash Camera Footage (may be restricted)
( ) 911 / Dispatch Audio (may be restricted)
( ) Property / Evidence Record
( ) FOIA Logs / Administrative Records
( ) Other (describe):
Agency / Department believed to hold the record:
( ) DOJ / Records
( ) SASP
( ) LSPD
( ) BCSO
( ) SAFR / EMS
( ) Other:
Known Identifiers (fill in anything you have):
Case / Report #:
Citation #:
Arrest / Booking #:
Officer / Deputy Name(s):
Date(s) of Incident (or date range):
Location / Address:
Names of involved parties (if known):
Detailed Description of the Records Requested:
(Write exactly what you want. Example: “All reports, citations, and CAD notes related to incident #SA-12345 on 02/10/2026.”)
SECTION 3 — TIMEFRAME & FORMAT
Requested Date Range:
From: ___________ To: ___________
Preferred Delivery Format:
( ) Digital Copy (PDF / Images)
( ) Audio File (if applicable)
( ) Video File (if applicable)
( ) In-Person Review (if permitted)
Delivery Method:
( ) Forum DM
( ) Pick-up at Records Office (if applicable)
SECTION 4 — FEES / WAIVER
Some requests may involve administrative time, copying, redaction, or media export costs.
Do you agree to pay fees up to a cap?
( ) Yes — up to $________
( ) No — contact me with an estimate first
Fee Waiver Request (optional):
( ) I am requesting a fee waiver because:
SECTION 5 — ACKNOWLEDGEMENTS
Please initial each item:
_____ I understand some records may be withheld or redacted to protect privacy, ongoing investigations, officer safety, or other legal restrictions.
_____ I understand requests may be denied if overly broad, seeks restricted information, or cannot be reasonably located.
_____ I understand false statements or misuse of released records may result in penalties under applicable laws/policies.
SECTION 6 — SIGNATURE
Requestor Signature (type full name):
Date Submitted:
FOR OFFICIAL USE ONLY (DO NOT FILL OUT)
Request ID:
Date Received:
Receiving Staff:
Department Assigned:
Status:
( ) Received ( ) In Review ( ) Partially Granted ( ) Granted ( ) Denied ( ) Closed
Response Due By:
Fees Assessed:
Notes / Redactions:
Disposition / Response Summary:
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