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Request for Public Records Name Check
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This is the public records request name record check 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.
Please fill out one request form for each different request.
Requester First Name
Requester Last Name
Subject of Request
Full Date of Birth
Type of Contact
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Subject First Name
Subject Last Name
Subject Date of Birth
Any Additional Information
Please provide any additional information about the records you are requesting.
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