911 Copy Request Form 911 Copy Request Requester Name* First Last Date of request* MM slash DD slash YYYY Time of request* : Hours Minutes AM PM AM/PM Phone*Email* Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CALL/INCIDENT DESCRIPTIONAddress/Location of Call* Nature of call* Callers Phone Number Time of call* Date of call* Detailed description on the call*Items Requesting* Select All Audio (Call) Audio (Radio Traffic) CAD Report Statement regarding the use of public records.KRS 61.870(4) defines “commercial purpose” as “the direct orindirect use of any part of a public record or records, in any form, for sale, resale, solicitation, rent, or lease of a service, or any use by which the user expects a profit either through commission, salary, or fee.” However, “commercial purpose” does not include the publication or related use of the public record by a newspaper or periodical, by a radio or television station in its news or informational program, or by use in the prosecution or defense of litigation by the parties to such an action or their attorney.This request is (choose one):* NOT for a commercial purpose FOR a commercial purpose Statement regarding residency.I further state that I am a resident of Kentucky because I am (please check one): An individual residing in the Commonwealth; or A domestic business entity with a location in the Commonwealth; or A foreign business entity registered with the Kentucky Secretary of State; or An individual that is employed and works at a location within the Commonwealth; or An individual or business entity that owns real property within the Commonwealth; or An individual or business entity that has been authorized to act on behalf of an individual or business entity listed above; or A news-gathering organization as defined in KRS 189.635(8)(b)1a. to e Δ