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2. This is the 911 records request only for Agency's. This is not for the public. Please use the Public 911 Records Request Form if you are the public requesting a record.

   https://www.wbrparish.org/FormCenter/OHSEP-911-5/Public-911-Records-Request-72

4. Requester*
5. Organization
7. Email Address*
8. Phone Number*
10. Address
12. City
13. State
14. Zip Code
16. Date and Time of Call*
    Date and Time of Call*

    Date and Time of Call*
18. Call Description
    Describe the Events that the tape request references.
20. Please select the tracks you wish to receive copies of.

    1. 9-1-1 Trunks
    2. Fire line
    3. Admin lines
    4. LawEnforcement Dispatch1
    5. LawEnforcement Dispatch2
    6. Fire Dispatch
    7. Fire OPS 1
    8. Fire OPS 2
    9. EPNET
22. Location of Incident
23. Agency That Worked Incident
25. Requested Media

    1. Court certified CD
    2. Email that is not certified copy or request
    3. Both
26. Is the print out of call requested?

    1. Yes
    2. No
27. Requested Delivery Method

    1. Via US Mail
    2. Will pick-up
29. Additional Comments
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field