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Farmington Police Department DVD Request

  1. Request # (to be filled out by FPD personnel)________________________

  2. Contact Information for Person Making Request

  3. Request Information

  4. THIS SECTION TO BE COMPLETED BY THE IT DIVISION

  5. Date received by IT Division __________________

  6. Video available: ____Yes ____No

  7. If unavailable, reason:

  8. Date completed: _____________

  9. Completed by: __________________

  10. Requester notified that DVD is ready to be picked up.

  11. Date: ____________

  12. Name: ____________________________________________________________

  13. ADM 006 004

  14. Leave This Blank:

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