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REQUEST FOR PUBLIC RECORD(S)

Please choose one of the following options to submit a Request for Public Records (RPR) Form to Lake Havasu City:

  1. Complete the following fields below and submit a request electronically by clicking “Submit” at the bottom of the page.
  2. Download and complete a “Request for Records Form”, print, and mail or deliver to:

    Lake Havasu City
    City Clerk’s Office
    2330 McCulloch Blvd. N.
    Lake Havasu City, Arizona   86403

  3. Download and complete a “Request for Records Form”, scan, and submit via email to cityclerk@lhcaz.gov
Request for Public Record - Fire Request for Public Record - Police Request for Public Record - All Other

Type of Record Request



Fire Department Information
I am requesting the following:








Police Department Information

DETAILS OF INCIDENT


REASON FOR RECORDS REQUESTED

Check appropriate box:






* Accident Report Certification – “I certify I am an involved party, vehicle owner, or insurance company; or attorney, or private investigator representing an involved party.”   


RECORDS AVAILABLE FOR REQUEST

Check all that apply:






**Officer worn camera (BWC) videos will be redacted in accordance with public information laws and the entire video will be blurred to comply with privacy acts.

All other Requests for Public Records

Will the record(s) be used in a claim against the United States?

Will the record(s) be used for a commercial purpose or monetary gain? (DOES NOT APPLY TO POLICE DEPARTMENT REQUEST FOR PUBLIC RECORDS)


NOTICE OF DISCLAIMER: Lake Havasu City, including its departments, agencies, boards, commissions, officers, officials, agents, volunteers, and employees, does not warrant and shall not be responsible or liable for any loss, consequence, or damage resulting directly or indirectly from reliance upon the accuracy, reliability, or timeliness of any record  provided pursuant to this request. Any person or entity relying upon record provided pursuant to this request does so at the person’s or entity’s own risk and assumes the responsibility of verifying any information used or relied upon. Lake Havasu City is not required to create records to satisfy a request and requestors only have the right to receive records that are already in existence and in the format in which they are currently kept.

PLEASE INDICATE YOU HAVE READ THE DISCLAIMER BY CHECKING THIS BOX

FOR POLICE DEPARTMENT REQUESTS FOR RECORDS ONLY:

CERTIFICATION: I hereby certify under penalty of perjury that the requested records will not be used for commercial purpose as defined by A.R.S. § 39-121.03.

PLEASE INDICATE YOU HAVE READ THE CERTIFICATION BY CHECKING THIS BOX
CONTACT US
(928) 453-4142
2330 McCulloch Blvd. N. Lake Havasu City, AZ 86403
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