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2. Request to Investigate
   York County Department of Public Safety Communications
3. Date of Request:
   Date of Request:
5. Reporting Person:
6. Department / Organization:
8. Contact Phone #
9. Email:
11. Type of Incident:
12. Talkgroup(s) Assigned:
14. Location of Incident:
16. City:
17. Date and Time of Incident:
    Date and Time of Incident:

    Date and Time of Incident:
    Approximate time is fine.
19. Request:

    Please include as much detail about the incident and the specific information that you are requesting.

21. Date Received:
    Date Received:
22. Received by:
23. Assigned to:
25. Response Due Date:
    Response Due Date:
26. Date Completed:
    Date Completed:
28. Notification made via:

    1. Phone
    2. Email
    3. Other
30. Other
32. Date Notified:
    Date Notified:
34. Signature of personnel completing investigation:
Leave This Blank:


36. Submit

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