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WMPD Public Records Request Form

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WEST MELBOURNE POLICE DEPARTMENT
2290 MINTON ROAD
WEST MELBOURNE, FL 32904
321-723-9673
PUBLIC RECORDS REQUEST FORM
NOTE: Florida Law does not require you to provide your name or complete this form. It would be helpful that you provide a phone number or email address to ensure your request is met in a timely manner should we need further clarification to complete your request and to contact you when your records request is ready for pick up.
In order that we may serve you, please provide specific description of item or items requested(case #, etc.):
Requestor Name:
Date:
Date:
Address:
Phone:
Email:
Need by:
All Public Records requests are subject to fees associated with processing in accordance with Florida Statute 119.07