Forms • Public Records Request Documents/Digital Media

Southaven Police Department
Public Record Request
Documents/Digital Media

Name*

Phone Number (numbers only, no dashes)*

Email Address*

Please provide all known information to assist in locating requested documents/videos.

Documents (Check all that apply)*

	Incident Report
	Private Lot Accident (does not apply to accident reports, these reports are available at www.ms.gov/dps/crash_reports)

	Arrest Report
	Other

Specify Other

Media (Check all that apply)*

	BWC
	ICV
	MDOT

	Photos
	Other

Specify Other

Date of Request*

Incident Date*

Incident Location*

CAD/Offense #

Officer(s) Involved

Ticket Number(s)

Defendant's Name(s)

I understand that they City of Southaven will apply a charge of $10.00 per written report.

For media requests the following charges will be applied; minimum charge per incident is $25.00.

All documents will be delivered via email.

This option applies to media delivery only.

I wish an emailed link (to the email address listed above), enabled for 72 hours upon sending to recipient, which may be downloaded by recipient. I understand the cost is based on $25.00 per hour to prepare the media.

The redaction process of SPD Public Record Request of body and in-car video is a time consuming and tedious process. Petitioner will be provided with cost estimates prior to the initial review of media and the redaction process.

* indicates required fields.

Live Edit