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Whitpain Township Police Department Public Record Review/Duplicate Request Form

  1. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  2. Review or Duplication

    I Request review or duplication (check applicable boxes) of the following records.

  3. Important: You must identify or describe the records with sufficient specificity to enable the Township to Determine which records are being requested. Use additional sheets if necessary.

  4. For Official Use Only:

    The fields below are for official use only. Please do not complete these fields.

  5. Leave This Blank:

  6. This field is not part of the form submission.