Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Request for Access to Public Records

Sign in to Save Progress

Steps

  1. 1. Request for Access to Public Records
  2. 2. For Agency Use Only

  • Request for Access to Public Records

    2. Jeffrey J. McCracken
      Chief of Police
    4. Steven S. McMichael
      Mayor
    6. Return to:
      New Haven Police Department
      ATTN: Records Department
      815 Lincoln Highway E
      New Haven, IN 46774
    28. Type of Copy
    30. If this request includes criminal history information, provide the following additional information:
    44. —
    46. Additionally, the subject of the criminal history request must sign the following waiver:
    48. Electronic Signature Agreement
      By signing, I hereby authorize the New Haven Police Department and I hereby give my consent to release all criminal history information regarding myself as that information appears in the records of the New Haven Police Department for the purpose of employment or personal use. I hereby waive, release and surrender any and all rights to claims which I may have against the City of New Haven or the New Haven Police Department as well as any of the officers/employees of the City of New Haven which may arise as a result of the release of this criminal information.