This completed form is an open public document and may be released to any requestor. 

 

Pursuant to Washington’s Public Disclosure Act (RCW 42.56), I request that the City of East Wenatchee disclose the body-worn camera recording identified below. "Body worn camera recording" means a video and/or sound recording that is made by a body worn camera attached to the uniform or eyewear of a law enforcement or corrections officer while in the course of his or her official duties." I assert my identity to be:

1

Name

Name

2

Phone Number

 *

Phone Numberext.

3

Email Address

 *

Email Address

4

Please identify the record you wish to review. Please provide as much detail as possible.

 *

Please identify the record you wish to review. Please provide as much detail as possible.

Case Number

Date of Incident

Time of Incident

Location of Incident

Name of officer who recorded the incident.

Additional information that will help the City locate the requested recording.

5

Identity of Requestor.

 *

Identity of Requestor.

I was directly involved in the incident.

I am an attorney who represents someone who was directly involved in the incident.

I am involved in criminal case and the recording is relevant to my case.

I represent a person in a criminal case and the record is relevant to his/her case.

I am an attorney who represents a person regarding a potential or existing civil cause of cause of action for violation of a civil right.

None of the above.

6

Please identify any individuals who may be depicted in the recording you are requesting.

Please identify any individuals who may be depicted in the recording you are requesting.

7

Signature (Please type in your first and last name).

 *

Signature (Please type in your first and last name).

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