Note: Your application is subject to $75.00 for each incident
The following application is for Body Worn Camera Footage only


**PLEASE NOTE**

** For FOI Access Requests please go to FOI Access Requests website

** For report requests for insurance purposes please go to Collision and Incident Report

NOTE: If you are charged with an offence, you may obtain information relating to your charge through the disclosure process. To do this, contact the Crown attorney's office.

Particulars of incident: 


         

Incident #:  Date of incident:   (YYYY/MM/DD)
Name of officer:  Officer Badge #: 
Location of incident (street address / intersection):  City / town: 
Involved party - Surname:  First name: 
Involved party - Surname:  First name: 
 
Name and Address of person completing this form
Surname:  First name: 
Address: 
City/Town:  Province:  Postal code: 
Email address: 
You will be receiving correspondence to this email – ensure it is correct 		Phone #: 
You will receive an email from EVIDENCE.COM when your request has been processed
 (NOTE: if you are denied access to the BWC footage, you will be issued a refund)
Describe your involvement: 
If not directly involved name client / insured: 
Describe involvement of client / insured: 
Involved persons: Upload image of valid photo identification (ie: drivers licence, passport)
Insurance Company/Solicitors: Upload applicable authorization and request letter on letterhead – (valid photo identification not required)
Max file size : 4 MB
 
I agree that the above information that I have provided is true  
 

Personal information on this application form is collected and accessed according to the Community Safety and Policing Act 2019, S.O. 2019, c. 1, Sched. 1 and Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56 to process this request. Questions concerning this collection should be directed to Durham Regional Police Service, PrivacyUnit@drps.ca