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2. Requestor’s Name
3. Requestor’s Phone Number
4. Date of Request
   Date of Request
6. Requestor's Address
8. Address2
10. City
11. State
12. Zip
14. Open records requests may take up to 10 business days due to the volume of requests or the extent of information requested. If you are not in need of the information within ten days, enter the date you wish to have the information by
    Open records requests may take up to 10 business days due to the volume of requests or the extent of information requested. If you are not in need of the information within ten days, enter the date you wish to have the information by
16. Wisconsin Open Records Act, refers to Wisconsin ss. 19.31 and 19.35
    The Shawano-Bonduel Municipal Court has found me guilty of OWI number 1. I request copies of the police reports regarding this incident for a court ordered assessment.
18. Date of Arrest
    Date of Arrest
19. OWI Citation issued to
21. Cost for copies of OWI incidents is $3. Other charges may apply if additional materials are requested.
23. Was the request approved or denied?

    1. Approved
    2. Denied in Part
    3. Denied in Whole
25. Request Approved by
26. Approval Date
    Approval Date
28. Assess Pertinent Fees
    See attached copies
30. Request Denied in Part by
31. Denial Date
    Denial Date
33. Comments/Reasons
34. Fees Assessed
36. Request Denied in Whole by
37. Denial Date
    Denial Date
39. Comments/Reasons
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

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