Jefferson County 911 Recording Request Form

Title and Name of Requestor *

E-Mail All files will be sent to the email address you supply *

Agency You Represent *

Requests by non-agencies and law firms MUST provide a valid subpoena in order to secure ANY recording.

ORI, FDID, EMS Number (if an agency)

Purpose for Recording *

Date of Incident *

Approximate Time of Incident

Address or Location of Incident *

Caller’s Name and/or Phone Number *

Nature of Incident / Specific Information Requested

Channels Needing Recordings From Select all that Apply ( Ctrl+Select ) *911 PhoneAdministrative PhonePolice RadioEMS RadioFire RadioOther

Special Notes

Recordings must be requested no more than 120 days from the date of the incident

1 + 6 = ?Please prove that you are human by solving the equation *