Bonney Lake Police Department Request for Disclosure of Public Records

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**Please provide more than one way of contact in case of technical issues.**

Records Requested:

Type of Case:

Case # (If known):

Date of Incident:

Location of Incident:

Name of Person(s) Involved:

Your Involvement:

Please describe the records you are requesting with any additional information that will help us locate the records for you as quickly as possible.

Description of records:

Response Requested:

I wish to discuss options for copying or reviewing records once an installment is available (before copies are made).

I wish to make an appointment to review the records in person.

I wish to receive copies/duplicates of the records indicated above. I understand that fees* may be charged for duplication of records per BLMC Chapter 3.90. I would like to receive the records by having them:

Sent By:

Sent to me by mail.

Picked up in person.

Sent to me by email (if possible).

* Fees: For a complete list of applicable fees see BLMC Chapter 3.90. Postage/delivery services are charged at actual costs.

Black And White Copies Of Collision Reports To Insurance Companies: $5.00

Collision Reports To The Involved Parties: No Charge

Fingerprinting – Inked Hard Copies (Non-Criminal): $10.00 Per Card

Fingerprinting – Live Scan: $15.00

General Police Incident Reports: $0.15 Per Page

Color Copies/Pictures: $0.15 Per Page

Records/Reports Scanned Into Electronic Format: $0.10 Per Page

Reports, Electronic Files Or And Attachments Uploaded To Email, Cloud-Based Storage Service Or Other Means Of Electronic Delivery: $0.05 Per 4 Electronic Files

Transmission Size Of Public Records In An Electronic Format: $0.10 Per Gigabyte (GB

*The charges may be combined to the extent that more than one type of charge applies to copies produced in response to a particular request as per per RCW 42.56.120

Acknowledgements:

I understand that per RCW 42.56.520, the City of Bonney Lake has five business days to respond to my request. If the information will not be available within five business days, an estimated date of completion will be given.

I understand that per RCW 42.56.120 the City of Bonney Lake will charge for copies of records; that the City may require a deposit of up to 10% of the estimated charge at the time the request is submitted; and that full payment may be required prior to delivery of documents. In addition, per RCW 42.56.120, the City may provide records on a partial or installment basis as they are assembled/readied for disclosure. In that event, I understand that the City may charge for each part of the request as it is provided, and that if I do not claim or review any installment of records requested, the City is not obligated to fulfill the balance of the request.

I understand that my request may contain information that is exempt from disclosure pursuant to specific exemptions contained in RCW 42.56 or other statutes. If this should be the case, I understand I will be notified in writing.

THE FOLLOWING PROVISION APPLIES ONLY TO REQUESTS FOR LISTS OF INDIVIDUALS: I understand that RCW 42.56.070(9) prohibits the City from disclosing lists of individuals for commercial purposes; “commercial purposes” means use of information to communicate with individual(s) named in the record(s) for the purpose of facilitating profit-expecting activity. I understand that the use of said records for commercial purposes may violate the rights of the individuals named therein and may subject me to liability for such commercial use, by myself or others. Therefore, I hereby declare, under penalty of perjury, that I am not requesting lists of individuals for commercial purposes. Initial for Provision Acknowledgement:

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.