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2. Name*
3. Email Address
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Fax Number
14. Date of Request*
16. I am requesting an inspection of the following record(s) of the Saukville Police Department.*
    Please be specific as to the information you wish to view.
18. Electronic Signature*
20. Document Requested for :*

    1. Inspection Only
    2. Inspection and Copy
    3. Include Photos and Video
22. For Office Use Only
24. Date and Time
25. Copy Fee
27. Information Provided By:
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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