911 Records Request Form
For non-government agencies, the costs associated with retrieving, compiling, and recording the information you request must be paid to Douglas County prior to the release of any information. After you submit your request, it will be reviewed and the total cost and payment instructions will be sent to you via the email address you provide in the form below. |
| Request Date and Time |
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| Your Name |
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Use your full name, NOT your call sign |
| Agency Name |
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Agency, Division, Unit, Department or Company |
| Your Phone Number |
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ie: 402-444-5800 |
| Your email |
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ie: comm911custodian@douglascounty-ne.gov |
| Confirm Your email |
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Verify your email is typed correctly, an incorrect email will prevent your request from being fulfilled. |
| Summary of the Incident |
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A short summary of the Incident ie: Shooting, Auto Accident, Robbery |
| Address/Location of the Incident |
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ie: 1819 FARNAM ST |
| Date of the Incident |
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 click to pick date |
| Time of the Incident |
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| What information is requested? |
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Check which resources you are requesting |
| Details of information requested |
Use the box below |
Be as specific as you can with the exact details of the Incident and information your are looking for. The more information and the more specific the information you provide is, the better results you can expect. |
If there are any additional details to help refine your records request, please provide those details in the below box.
(0 / 400 Maximum characters) (0 / 5 Maximum rows) |
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