2. Defendan'ts Request for Police Report
   If you are representing yourself, you may complete and submit this form. You will be contacted by our office to advise of the discovery charge. ($1.00 per page) You will need to bring payment to the Prosecuting Attorney's office prior to obtaining a copy of the report.
4. Do you have any attorney?*
   -- Select One --YesNo

   If you have an attorney, do not continue. Contact your attorney to obtain a copy of the police report.
6. Name*
7. Email Address*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
17. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) you do not have an attorney and do not plan to hire one at this time 2) you agree to pay the fee of $1.00 per page 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree.
19. Electronic Signature
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field