Note: Your application is subject to $75.00 for each incident
The following application is for Body Worn Camera Footage only
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 #: |
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Date of incident: |
(YYYY/MM/DD)
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Name of officer:
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Officer Badge #:
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Location of incident (street address / intersection):
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City / town:
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| Involved party - Surname: |
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First name: |
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| Involved party - Surname: |
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First name: |
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| Name and Address of person completing this form |
| Surname: |
*
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First name: |
*
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Address:
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| City/Town: |
*
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Province: |
*
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Postal code: |
*
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Email address: |
*
You will be receiving correspondence to this email – ensure it is correct
*
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Phone #: |
Phone#
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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)
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| Describe your involvement: |
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| If not directly involved name client / insured: |
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| Describe involvement of client / insured: |
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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
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I agree that the above information that I have provided is true
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Personal information contained on this form is collected pursuant to section 41 of the Police Services Act and will be used to process your request. Access to information held by this institution is subject to the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection and access should be directed to the Privacy Unit - FOI, Durham Regional Police Service, 605 Rossland Rd. E, P.O. Box 911, Whitby Ontario L1N 0B8, telephone 905-579-1520 x4108,4110,4112,4111 email: PrivacyUnit@drps.ca
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