Please feel free to use this form or come into the Oglesby Police Department to request a form
City, State, Zip
Daytime phone #
PUBLIC RECORD INFORMATION YOU ARE REQUESTING
Date of Incident
Location of Incident
Type of Incident
Pick up documents at police dept.?
Is this a commercial request?
Receive documents via FAX?
NOTE: Making a False Statement is Punishable by Criminal Penalities.