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2. Complete this form with as much information as possible and press submit at the end of the form:
4. FIRST NAME:
5. LAST NAME:
7. CONTACT PHONE #:
8. FAX:
10. EMAIL ADDRESS:*
12. MAILING ADDRESS:
14. CITY:
15. STATE:
16. ZIP
18. Client's name (not a required field, however it will assist with search/dissemination):
20. How would you like to receive your documents?

    1. Mailed
    2. Email (approx. 20 pages or less)
    3. Viewing
    4. Fax
    5. * Other

    1. Pick-up at:
    2. Courthouse or
    3. North Precinct or
    4. South Precinct or
    5. East Precinct
22. If *Other - list the specific location:
24. Which format would you like?

    1. Paper copy

    1. CD

    1. Viewing

    1. N/A
26. Describe the public records you are requesting. If you wish a specific case/incident report, complete the Case Report section.
30. Case Report Section: If requesting a specific Case Report, fill out as much of the following as possible:
32. Case Report Number:
33. Do you wish copies of digital media, i.e. photos (if applicable)?

    1. Yes
    2. No

    1. N/A
35. Location of Incident (include city):
37. Parties Involved (include DOB if known): #1
38. #2
40. Note:
    By state regulation RCW 42.56.520, within five (5) business days after receipt of a public records request, the Sheriff’s Office will do one or more of the following: 1) Make requested records available; 2) Acknowledge the receipt of request and provide a reasonable estimate of when requested records will be available; 3) Seek clarification; 4) Deny the request and cite the legal exemption(s).
42. Fees:
     Fees are charged per RCW 36.18.040. The fee for paper copies is $.15 per page. If a document contains 10 pages or under, it will be available free of charge. The fee for a CD is $1.50. Other fees, such as scanning large documents, may be applied per published fee chart.
44. Please be advised:
     Please be advised, if a list of individuals is provided to the requestor by the Snohomish County Sheriff’s Office, it will neither be used to promote the election of an official or promote or oppose a ballot proposition as prohibited by RCW 42.17.130 nor for commercial purposes or give or provide access to material to others for commercial purposes as prohibited by RCW 42.56.070(9).
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field