ACCESS TO PUBLIC RECORDS REQUEST FORM
Bedford Police Dept. ~ 55 Constitution Drive ~ Bedford, NH 03110 ~ (603) 472-5113
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*PLEASE PRINT*
NAME: _____________________________ TODAY’S DATE: __________ TIME: ___________
STREET ADDRESS:________________________________________________________________
CITY: _______________________ STATE: ____________ ZIP CODE: _____________________
PHONE #: __________________
PLEASE SPECIFY CASE# (if needed): ________________________________
ANY ADDITIONAL INFO:
If the public record you are requesting is not immediately available for inspection the Bedford Police Department has five (5) business days (per RSA 91-A) to:
(A) Make the record available
(B) Deny the request in writing, giving the reasons
(C) Give written acknowledgement of the request and a statement of the time needed to grant or deny the request
THERE IS A $.50 PER PAGE CHARGE. ALL REQUESTS MUST TO BE PAID FOR BY
CHECK AND/OR MONEY ORDER, EFFECTIVE NOVEMBER 1, 2011.
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