Gridley, CA · Butte County

No notary required

Official Request for Release of Record

This form lets a person request a criminal record, crime report, incident record, or other record from the Gridley Police Department.

What this form is

The form is used to request the release of a record from the Gridley Police Department. It asks for the requestor’s contact details, record type and description, incident information if known, and the requestor’s involvement. The department uses the form to document its release or denial decision; the form says the agency has 10 days to respond.

Who needs it

Anyone requesting a criminal record, crime report, incident record, or other record from the Gridley Police Department can complete this form.

How to submit it

Submit it to the Gridley Police Department; the form lists 685 Kentucky Street, Gridley, CA 95948, and [email protected].

About notarization

This document is signed without a notary; the form asks the requestor to sign and date it, with no notarized attachment or sworn step listed.

How to submit this form

  1. 1

    Download the Form

    Download the Official Request for Release of Record form.

  2. 2

    Complete the Request

    Provide your contact information, record type and description, and any known incident details.

  3. 3

    Sign and Date

    Sign and date the request form.

  4. 4

    Submit to the Police Department

    Send the form to the Gridley Police Department using the address or email listed on it.

Frequently asked questions

What records can I request with this form?
The form lets you request a criminal record, crime report, incident record, or another type of record from the Gridley Police Department.
What information does the request form ask for?
It asks for your contact information, the type and description of the record, incident details if known, and your involvement in the incident.
Do I need a notary for the Official Request for Release of Record?
No. This document is signed without a notary; the form asks the requestor to sign and date it, and lists no notarized attachment or sworn step.
How do I submit the record request?
Submit it to the Gridley Police Department. The form lists 685 Kentucky Street, Gridley, CA 95948, and [email protected].

Need something notarized?

This Official Request for Release of Record doesn’t need a notary — but if you have another Gridley form that does, a commissioned online notary can help.