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Brazoria Police Department Request for Offense/Accident/Incident/Call Sheet

  1. **This information MAY or MAY NOT be available at the time requested or MAY NOT be available for PUBLIC INSPECTION.
  2. Description of Offense Report(s) or Public Record(s) being requested, Please include any dates of Offense, Names, and Dates of birth of persons involved in Offense(s):
  3. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  4. If you have any questions concerning this form or required payment of requested items, please contact The Department Administrative Assistant at 979-798-2195 ext 305.
  5. Leave This Blank:

  6. This field is not part of the form submission.