Date:*

REQUEST MADE BY:

Last Name:*

First Name:*

Address/Street:*

City:*

State:*

Zipcode:*

Phone Number:*

Fax Number:

Email Address:*

TO: League City Police Department, Records Division

SUBJECT: Request for Information Under the Texas Public Information Act

CASE NUMBER:

CASE NAME:

TYPE OF REQUEST:

1.) I hereby request copies of the following records concerning the above referenced case.

2.) I request the following listed information if available under the Texas Public Information Act: (Example: Crime Statistics, Reports, Audio/Video Recordings, give specific dates, times etc.)

Please List Requested Information under option (2) above:

File Upload:

I understand you may need to redact non-public information (license plate, driver’s license, etc).

I understand that you have ten (10) working days to reply to this request. I also understand that certain information is not releasable under the Texas Public Information Act, such as suspect, juvenile, witness and information pertaining to cases which are still open.

I also understand that under the Texas Public Information Act there may be a charge for this service.