1

Date of Request

 *

Date of Request

2

Type of Request

 *

Type of Request

911 Phone Call

Admin Line Phone Call

Radio Traffic

Other If other, type text here.

3

Date of Incident

 *

Date of Incident

4

Incident Time (please specify A.M. or P.M.)

Incident Time (please specify A.M. or P.M.)

Begin

End

5

Incident Type

 *

Incident Type

6

Incident Location

 *

Incident Location

7

Case or CAD call number

Case or CAD call number

8

Names of Officers Involved

Names of Officers Involved

9

Additional Details (any other information that might be helpful in completing this request)

 *

Additional Details (any other information that might be helpful in completing this request)

***Most public records requests will be available in 10 business days; however, some larger requests may require additional time.***

10

Please provide your contact information.

 *

Please provide your contact information.

Name

Phoneext.

Email

---

Cary Police Department - Emergency Communications Center Use Only

Date Request Received:

By:

Date Completed:

By:

Location of File:

 

Cary Police Department -- For External Requests Only

(Check one) 

Approved for Release:

Denied for Release:

Support Services Manager:

*All requests must be approved by Support Services Commander prior to distribution

 

Date CD Distributed:

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