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2. Name*
3. Email Address*
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
13. Description of Record or Case Number:*
    Please do not include social security numbers, driver's license numbers, bank account information, medical information, passport numbers, or passwords.
14. Preferred Method to Receive Records*

    1. Pick-Up at Police Department
    2. Email
    3. Mail
    4. Inspect Only
15. Commercial Purposes*

    1. No
    2. Yes

    This request is being submitted for commercial purpose (5/ ILCS 140/3.1). This means any part of the public record will be used for sale, resale, or solicitation or advertisement for sales or services purposes. We will respond within 21 business days of receipt if so.
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field