911 Records Request

2. ORC 149.43(B)(5)

   Lorain County 911 Agency will make available, upon request, all information not exempted from disclosure by the Federal Privacy Act and/or General Assembly of the State of Ohio (see note below).  In order for us to provide the information in a timely manner, please fill out this form with as much information as possible.  Filling in these fields are optional, it is not mandatory that you leave your name, address, or phone numbers ORC 149.43(B)(5).  We will provide all non-exempt information within three (3) business days.  Research, preparation, and release of records shall occur during normal business hours, which are 8:00 a.m. - 4:00 p.m., Monday through Friday, with the exception of holidays as defined by Lorain County Commissioners.

   A public records request can be completed by submitting this form or calling 440-329-5444 during normal business hours.
   
   ***Please note this is for 911-related records only***

6. First Name
7. Last Name
9. Email Address
11. Phone Number
15. Address or Place of Occurrence*
17. Incident Date*
    Incident Date Start Date

    —

    Incident Date End Date
18. Incident Time*
    Incident Time Start Time

    —

    Incident Time End Time
20. Briefly describe the Incident*
24. Requester Information

    When record is ready, (choose one of the following):

    1. I will pick up the record. Contact me at the phone number listed above.
    2. Email the record to the email address listed above.
28. Note:

    Some of the printed material you receive may have information that cannot be released by law.  This information has been redacted or removed in accordance with the law.  In most cases, redacted or removed information will be social security numbers.  LEADS/NCIC information is only available to law enforcement personnel, as defined in the Ohio Revised Code.

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field