ACCESS REQUEST

Municipal Freedom of Information and Protection Of Privacy Act

**PLEASE NOTE**
** For Motor Vehicle Collision/Incident Report Request please go to Motor Vehicle Collision/Incident Report Request website

Note: All access requests must be accompanied by a $5.00 application fee

NOTE: The record(s) you have requested may contain personal information of individuals other than yourself (for example, accused, victim, witnesses). Such personal information can only be released with the consent of those individuals.

1. Do you wish us to contact these individuals to ask for consent to release their personal information?

2. If your answer is Yes to question 1. above, do you consent to our releasing your identity to the individuals we contact?


Last Name
Middle Name
Date of Birth  (YYYY/MM/DD)
Work Phone#
(include area code)
Address
Province
First Name
Sex
Home Phone#
(include area code)
City/Town
Postal Code
Email Address
 
How was your name recorded at the time the record was created?
 
Upload image of valid photo identification (ie: Drivers licence, passport) or supporting documentation here (ie. PDF, request letter,etc)
Max file size : 4 MB
 
Carefully explain what record(s) you are requesting. Provide the following details: date, type of incident, location, incident number, names of individuals involved
Maximum 1000 characters allowed – over 1000 will be cut off.   character(s) remaining.

You will receive an email from AXON - EVIDENCE when your request has been processed.
Please be advised the legislated response time is 30 days

Personal information on this application form is collected 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
By pressing "Agree", you are confirming that all the information that you have filled out on your application is accurate.