Incident Report Request

Print
Press Enter to show all options, press Tab go to next option

Incident Records are a matter of public record and as such can have copies requested. The cost of records is $8.50. Please fill out the form below and contact the Fire Prevention Bureau at 970-416-2891 to complete payment. Please note that records for medial incidents will only be released to a patient with a valid photo ID. A signed HIPPA release form signed by the patient is required for records released to any third party.

  • CRS Sec. 24-72-305.5—Access to Records—Denial by custodian—use of records to obtain information for solicitation
    • Records of official actions and criminal justice records and the names, addresses, telephone numbers, and other information in such records shall not be used by any person for the purpose of soliciting business for pecuniary gain. The official custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for pecuniary gain. 
Please correct the field(s) marked in red below:

Incident Records are a matter of public record and as such can have copies requested. The cost of records is $8.50. Please fill out the form below and contact the Fire Prevention Bureau at 970-416-2891 to complete payment. Please note that records for medial incidents will only be released to a patient with a valid photo ID. A signed HIPPA release form signed by the patient is required for records released to any third party.

  • CRS Sec. 24-72-305.5—Access to Records—Denial by custodian—use of records to obtain information for solicitation
    • Records of official actions and criminal justice records and the names, addresses, telephone numbers, and other information in such records shall not be used by any person for the purpose of soliciting business for pecuniary gain. The official custodian shall deny any person access to records of official actions and criminal justice records unless such person signs a statement which affirms that such records shall not be used for the direct solicitation of business for pecuniary gain. 
1
Date of Request:
2
PFA Case #:
3
Description of Incident:
Description of Incident:
4
Applicant Information:
Applicant Information:
5
Type of Information Requested:
6
Reason for Requesting Report:
7

Fees

8

Do you want to pick up your report at our office at 102 Remington St, Fort Collins CO, 80512, or would you like it mailed to you?

9
By signing this form I acknowledge that I have read and understand the above Colorado Revised Statute. I affirm that I shall not use the requested information for direct solicitation of business for pecuniary gain and acknowledge that such violation is a Class 3 Misdemeanor under Colorado Revised Statute 24-72-309.
 *
By signing this form I acknowledge that I have read and understand the above Colorado Revised Statute. I affirm that I shall not use the requested information for direct solicitation of business for pecuniary gain and acknowledge that such violation is a Class 3 Misdemeanor under Colorado Revised Statute 24-72-309.
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code