2. Please complete the online form below to submit your Request of Criminal Justice Records

4. Your request will NOT be released until payment is made in full. You can call Town Hall at 970-284-6931 to complete payment over the phone

6. Requestor's Information
8. First Name*
9. Last Name*
11. Address1*
13. City*
14. State*
15. Zip*
17. Home Phone Number*
18. Email Address*
20. Driver's License or I.D Number*
21. State *
23. Type of Request*
    -- Select One --Police ReportBackground CheckClearance LetterPhotosVideoOther
24. Today's Date*
    Today's Date
25. Case Number (Optional)
26. Date and Time of Incident*
    Date and Time of Incident

    Date and Time of Incident
28. Location of Incident*
29. Type of Incident*
31. Person(s) Involved
33. First and Last Name
34. Date of Birth
36. First and Last Name
37. Date of Birth
39. First and Last Name
40. Date of Birth
42. Other Notes
43. Upload Copy of Identification*
45. COLORADO REVISED STATUTES CONCERNING REDACTIONS OR DENIALS
    • CRS 19-304(2)(a) Criminal Justice Delinquency Records (Juvenile Arrestee)
    • CRS 19-1-307(2)(e) Names of reporting parties of child abuse and neglect
    • CRS 19-1-307(1)(a) Child abuse and neglect reports
    • CRS 24-72-304(4)(a) Names of sex assault victims
    • CRS 24-72-305(5) Contrary to public interest
    • CRS 24-72-305(5) Case still pending investigation (open)
    • CRS 24-72-305.5 Pecuniary gain (used for solicitation)
    • CRS 26-3.1-102(7)(a) At-risk adult
    • CRS 27-65-121 Mental health holds
    • CRS 27-81-11(1)(a) Detox holds
    • CBI Regulation 500-01 Printouts of CCIC/NCIC/DMV/NLETS information
47. USE OF THIS INFORMATION IS REGULATED BY LAW - DO NOT DISSEMINATE

    Note: According to the Colorado Revised Statute 24-72-305.5, records of official action, criminal justice records, or the names address, telephone numbers, and other information in such records shall not be used by any person for the purpose of directly soliciting business for pecuniary gain. A violation of this section subjects you to misdemeanor charges and upon conviction, a fine of $100 or 90 days in jail or both.

    
    

49. Signature*

    By checking this box I affirm that I will not use the records, or any portion of the records requested for the purpose of directly soliciting business for pecuniary gain.

    1. Signature
50. Date*
    Date
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52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

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