REPORT REQUEST

ROUTT COUNTY SHERIFFS OFFICE

2025 SHIELD DRIVE
STEAMBOAT SPRINGS, CO 80487
970.870.5503 RECORDS 970.870.5525 FAX

Todays Date:

12 .21.15

s1505923

RCSO Case Number:

*Date of Incident:
*Nature of Incident:
Subject of Inquiry Information
*Name:

*Date of Birth:

Address:
City/State Zip:

Requestor Information
*Name:

*Phone:

*Address:
*City/State/Zip:
*THESE FIELDS MUST BE COMPLETED IN ORDER FOR THE REQUEST TO BE PROCESSED
FEES
Retrieval and Report Fee
Record Copy

$7.00
10 pages or less no additional charge

Statistical Research/ Search/Retrieval/Redaction Fee

$.25 per page

st

1 hour free

$30.00 hr

Colored Photographs

$2.00 per page

CD ROM of Photographs
$5.00 per CD
Large volume request will be charged according to statute and will be produced in a reasonable time
frame based on the volume of the request.
I AFFIRM THAT THE NAMES, ADDRESSES, TELEPHONE NUMBERS AND ANY OTHER INFORMATION INCLUDING
PHOTOS IN THIS REPORT SHALL NOT BE USED FOR THE PURPOSE OF SOLICITING BUSINESS FOR
PECUNIARY GAIN PURSUANT TO C.R.S. 24-72-305.5 OR ADDING ANY PHOTO TO A PUBLICATION OR WEBSITE
THAT REQUIRES PAYMENT TO REMOVE IT.

Date

*SIGNATURE OF REUQESTOR
Pages/Records Released
Fee Received
Records Technician
Case Number for Request

Comments
Date

Initials
Date