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2. Laurens County E-911 Open Records Request Form
   Please enter all information below. Failure to provide all information may result in your request being denied. If you are affiliated with an attorney’s office, a private investigator’s office, or insurance company please put your Open Records Request on your letterhead and email it to e911@dlcga.com or fax it to 478-275-7259.
4. Requester Name*
5. Business Name (if applicable)
7. Mailing Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
18. Preferred manner of delivery? *

    1. Mail
    2. Pickup
19. Do copies need to be notarized? *

    1. Yes
    2. No
20. Type of records you are requesting?*

    1. CAD Report
    2. Phone Call Audio
    3. Radio Traffic Audio
22. What was the nature of the call you are requesting information on?*

    (Traffic Accident, Domestic, Welfare Check, etc.)

24. Address, Intersection, Business Name, or other location information about the call.*
26. Approximate date of incident*
27. Approximate time of incident*
29. Responding Agency (if known)
30. Case Number (if known)
32. Any additional information you may provide to assist us locating the call.
34. Pursuant to O.C.G.A. § 50 18, 1971(c) and (d), Laurens County is authorized to charge for the costs of producing documents requested. The cost of producing the same is $0.10 per page and $5 per disc, as well as a charge for the "direct administrative costs for complying with a request under this code section." This means you will be charged the hourly salary of the lowest paid full-time employee who has the necessary skill and training to perform the request. However, you will not be charged for the first 15 minutes spent on your request. By submitting this request, you are acknowledging this fee, and understand that you will be required to make payment in full for any records received.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field