Online Forms

2. ***Law Enforcement agencies and partners, please contact our agency directly 24/7 at 541-682-5131 and we will provide an e-mail address for you to send your requests to.***
4. This is the public records request form for the Eugene Police Department. Please fill out this form completely to the best of your ability. The more information you provide, the easier it is for us to complete your request in a timely manner.
6. Please fill out one request form for each different request (different case numbers, incident numbers, names, addresses, etc.)
8. Requester First Name*
9. Requester Last Name*
11. Business Name
13. Address 1*
15. Address 2
17. City*
18. State*
19. Zip*
21. Phone Number*
22. Extension
23. Email Address*
25. Check this box if this will be used for news media purposes

    1. Media request
27. Type of Request (select all that apply)*

    1. Police Report/CAD
    2. Photographs
    3. In Car Video
    4. 911 Audio
    5. Other (please specify in Any Additional Information field)
29. Incident/Case Number
30. Name(s) of Person(s) Involved
32. Date and Time of Incident
33. Location of Incident
35. Any Additional Information
    Please provide any additional information about the records you are requesting.
37. Signature of person making the request*
39. Do you agree?*

    By clicking I agree, you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field